Hemorrhagic stroke brain: implications, treatment and prognosis

According to statistics, every year the disease affects about 6 million people from around the world. The risk of hemorrhagic stroke type is that most people who have had it are disabled. Hemorrhagic stroke what is it? The disease belongs to severe neurological abnormalities that can overtake anyone. However, there is a risk group, which includes persons 45 years, hypertensive patients and those who have congenital defects of blood vessels.

What is a hemorrhagic stroke of the brain

In conditions of high blood pressure is rupture of blood vessels, which causes bleeding in the brain – this process is called a hemorrhagic stroke type. The attack occurs due to uneven thinning of the artery wall (often the reason for this is atherosclerosis). High pressure blood fills the cavity of the cranium, compressing the brain tissue. The result is a hematoma (blood tumor inside the brain).


  1. Numbness side of face with a characteristic tingle.
  2. The complexity of speech perception.
  3. Instability during movement, loss of balance.


The most frequent reason of development of disease is hypertension. Also the background for stroke may be hypertension or a vascular malformation of the brain, for example, aneurysms. The disease often occurs against a background of poor blood clotting overdose antispasmodics or presence of hemophilia. Other causes of extensive bleeding in the brain can be:

  • sudden pressure surges;
  • arteritis;
  • reception of an invalid number of anticoagulants;
  • brain damage in drug addicts and alcoholics.


More than 75% of patients with a history of stroke hemorrhagic type, are disabled. The reason for this, generally, is the lack of rehabilitation measures. It is impossible to say how many live after a hemorrhagic stroke. The main cause of death or coma the patient lies in the growing brain edema and dislocation of the body. Furthermore, death sometimes leads to a relapse of stroke. It is important, when the danger to human life has passed, to take measures for the recovery of his body.

What distinguishes ischemic from hemorrhagic stroke

The cause of ischemic stroke is a small amount of blood flowing to different parts of the brain. This occurs as a result of atherosclerotic plaque blocking an important vessel (e.g., carotid artery). Ischemia, in addition, develops due to cardiac arrhythmia or poor blood clotting. When a hemorrhagic stroke type, on the contrary, occurs increased blood flow to the brain, causing the artery is torn. A frequent reason for this is hypertensive crisis, so it is important to treat high blood pressure.

Both stroke have differences not only in development, but in the course of the disease. So, ischemia is manifested gradually, for 2-3 hours, rarely during the day. Hemorrhagic attack happens instantly, with a characteristic sharp headache and loss of consciousness. In addition to differences, there are similarities both forms of the disease. Hemorrhagic and ischemic attack has the following symptoms:

  • numbness in right or left side of the body/face;
  • disruption of the vestibular apparatus;
  • possible eye pain or blurred vision;
  • the difficulty of the language of perception;
  • paralysis.

The consequences of a hemorrhagic stroke of the brain

Some time after the hemorrhage, the patient swelling of the brain. This is the beginning of the development of the necrotic and inflammatory processes in the tissues of the body. The affected areas of the brain cease to function, along with the part of the body, which they controlled. The consequences of a hemorrhagic attack is similar to coronary artery disease, but are more severe in nature.

Right side

More easily recognized speech deviations that arise as a consequence of the defeat of the left side of the body, so to recognize a stroke right side harder. The exception is left-hander. Hemorrhagic stroke, affecting the right side of the body, longer diagnosed as its symptoms appear more slowly. The main sign of attack is:

  • paralysis left side of body/face;
  • the feeling of alienation of the body (the patient does not perceive body part for their own);
  • the patient suffers from partial memory loss;
  • impaired perception (the person is not able to estimate the distance, wears the wrong clothes, not able to navigate in space);
  • the manifest passivity of the psyche, there is a depression.

Left side

The stroke of the left hemisphere more frequently diagnosed, accounting for about 60% of attacks. Since this portion of the brain responsible for logic and speech function, a sure sign of the disease are considered to be language issues. With left-sided hemorrhage often the patient is taken away the right part of the face or right-sided paralysis of the limbs. Other effects of the attack are:

  • slurred pronunciation of words, disruption of speech;
  • misunderstanding what they say to the patient;
  • the inability to read/write;
  • frequent faraway look.

Treatment of hemorrhagic stroke drugs

First aid for hemorrhagic stroke directly affects the complexity and duration of further rehabilitation of the patient. It is important to recognize the signs of an attack as early as possible and to provide first, and after medical (drug) help. The first step is to call an ambulance, explaining as clearly as possible, what happened to the victims. Since the hemorrhagic stroke type is the area of neurology, the patient will need the help of a neurologist and explain the situation will help the Manager to properly form a team.

Emergency care for hemorrhagic stroke is executed before the arrival of the doctor:

  1. Make the sufferer lie down on a flat surface.
  2. Raise the patient’s head by 30 degrees with respect to the body by placing a pillow or rolled with a roller of clothes.
  3. Provide fresh air (if the attack happened in the room).
  4. If necessary, loosen tie, belt, unbutton the button-down shirts.
  5. If patient vomits, turn his body to one side, after get some water.
  6. Measure BP using sphygmomanometer and record the result.

Usually when hemorrhage hemorrhagic type required imminent surgical intervention in the clinic. Assign it can on CT scan (computed tomography). In some cases, the patient needs prompt medical treatment by which doctors restore blood flow to the patient. If the hemorrhage was not extensive, the patient has a chance for a full recovery. To increase the probability of recovery is necessary to conduct conservative therapy. It consists in taking certain groups of drugs:

  • Hypotensive: «Timolol», «Acebutolol», «Atenolol», «Bisabolol», «Sotalol».
  • Antispasmodics: «Gimekromon», «Papaverine», «Tilonia», «no-Spa», «Halidorum».
  • Calcium antagonists: «Nimotop», «Lacipil», «Nicardipine», «Isoptin».
  • Means for resolving intracranial pressure: «Reoglumann», «Lasix», «Dexamethasone».

Video: recovery and rehabilitation after stroke

The duration of rehabilitation depends on the severity of the transferred human disease. Recovery after a hemorrhagic stroke patient and his loved ones endurance, patience and perseverance. To lead to normal motor function, is used massage therapy, classes are held on special simulators, is therapeutic exercise. Looking at the video, you will learn how to achieve a speedy recovery.

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