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Hemorrhagic stroke. Alternative n ames. b rain bleeding b rain hemorrhage s troke – hemorrhagic hemorrhagic cerebrovascular disease. Definition. Hemorrhagic stroke occurs when a blood vessel bursts inside the brain. 20% of strokes are hemorrhagic. Types of hemorrhagic stroke.
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Alternative names • brain bleeding • brain hemorrhage • stroke – hemorrhagic • hemorrhagic cerebrovascular disease
Definition • Hemorrhagic stroke occurs when ablood vessel bursts inside the brain. • 20% of strokes are hemorrhagic
Types of hemorrhagic stroke • intracerebral hemorrhage • subarachnoid hemorrhage
Worldwide statistics • WHO: 15 million people suffer a stroke each year • 5 million die • 5 million permanently disabled. • high blood pressure contributes to over 12.7 million strokes worldwide • Europe: approximately 650,000 stroke deaths each year • risk of stroke in blacks: almost twice that of whites • in developed countries incidence of stroke declining due to efforts to lower blood pressure and reduce smoking • overall rate of stroke high due to the aging of the population
Causes • high blood pressure- hypertension (ICH) • trauma • infections • tumors • blood-clotting deficiencies • abnormalities in blood vessels (arteriovenous malformations) • Aneurysm (SAH) • accumulation of amyloid • drugs - cocaine
Warning signs and symptoms • sudden trouble seeing in one or both eyes • suddenconfusion, trouble speaking or understanding • sudden trouble walking, dizziness, loss of balance or coordination • sudden severe headache with no known cause • sudden numbness or weakness of face, arm or leg, especially on one side of the body
Exams and tests • neurologic exam • CT scan • MRI • angiography • CBC • bleeding time • prothrombin/partial thromboplastin time(PT/PTT) • CSF (cerebrospinal fluid) examination
Treatment • IMMEDIATE TREATMENT • SURGERY • LONG-TERM TREATMENT
Possible complications • permanent loss of movement or sensation of a part of the body • joint contractures • muscle spasticity • permanent loss of cognitive or other brain functions • disruption of communication, decreased social interaction • decreased ability to function or care for self • decreased life span • urinary and respiratory tract infections
Prevention Risk factors • high blood pressure • smoking • cocaine • alcohol
Did you know • turmeric, the active ingredient of the Indian curry spice, may help reduce the size of a hemorrhagic stroke • stroke - leading cause of adult disability • up to 80% of all strokes preventable • every 45 seconds someone suffers a stroke • every three minutes someone dies from a stroke • more women than men die from stroke • third most common cause of death globally • (Which are first two?) • Almost half of the people with a subarachnoid hemorrhage die before reaching the hospital.
References • www.strokecenter.org • www.nlm.nih.gov • www.emedicine.medscape.com • www.mayoclinic.org