Hemorrhagic stroke is bleeding in the brain tissue of cerebral blood vessels, which leads to disruption of the blood supply, the development of edema and even displacement of the brain.
Hemorrhagic stroke has several grounds for development.The most common, is the primary cause of hypertension, when due to high pressure and thinning of the walls of the vessels is their rupture and leak blood into the brain.Secondary hemorrhage observed in congenital anomalies of cerebral vessels, such as aneurysms and rare.
beginning to develop a hemorrhagic stroke suddenly, with loss of consciousness up to coma.The skin becomes red and bluish color, the body temperature rises to 40 degrees, breathing becomes hoarse, often joined by pneumonia and pulmonary edema.Pupil expanded, does not react to light, your eyes move randomly, head turned to the opposite side of the lesion.At the beginning of the illness increase the reflexes mark on the opposite side of the chamber hemorrhage, later joined by incontinence.
From focal symptoms at a hemorrhage in the brain stem appears nystagmus, respiratory failure and cardiac activity.When hemorrhage in the brain ventricles develop seizures, low tone in the flexors and extensors of hands feet.When the pain in the occipital region, incoordination, nausea and vomiting can be suspected bleeding in the area of the cerebellum.
Examination of blood revealed leukocytosis, lymphopenia, increased blood sugar and urine, residual nitrogen, a major change in the ECHO EG EEG rheovasography.The condition of patients is regarded as extremely difficult, patients often die on the first day because of serious violations, compression of important parts of the brain edema and tissue necrosis.
While improving hemodynamics in patients who have had a hemorrhagic stroke, begin the recovery processes that can take years.It starts with the recovery movement in the extremities of the fingers, then reduced muscle tone, reflexes, and speech.
If a patient is suspected hemorrhagic stroke, treatment is carried out in a hospital for at least three weeks.There are conservative and surgical treatment.On admission the patient must be examined by a neurosurgeon to carry out the necessary examination, prescribe adequate treatment and to achieve a favorable outcome of the disease.Only when conservative treatment is observed mortality rate to 50%, and after neurosurgical operations unfavorable outcome is at least 25% of patients.
main objective of treatment is surgical removal of the maximum blood clots with minimal damage to brain tissue.The indications for neurosurgical surgery is bleeding into the ventricles of the brain and bruising more than 20 ml, which cause displacement of the brain.In these cases, holds an open craniotomy, sometimes resorting to puncture, endoscopic aspiration of blood clots, or conduct local fibrinolysis.
untimely treatment of hemorrhagic stroke, the consequences of which are heavy for the life and health of patients often leads to permanent disability of patients.
stroke decay occurs in the brain tissues of blood, which leads to inflammation, necrosis and inability of the brain to work.After a stroke, patients may be movement disorders, paralysis and paresis, there may be a violation of the understanding of speech, there are certain difficulties in counting, writing, reading.Human vision may refuse to perceive what he saw, the patient will not be able to pick up a pen, a spoon, a plate of soup there.
disturb the process of swallowing when food can get into the trachea instead of the esophagus.A person may lose the ability to learn new things, suffer memory, thinking, logic.Finally begins to break down the patient's behavior, manifested aggression, depression, the reaction slows down, people may laugh or cry for no reason, may develop fecal incontinence and urine, severe, pulsating character, headaches that are not removed after taking analgesics.