What is the symptom of longitudinal cerebral hemorrhage, and what are the symptoms of cerebral hemor

The current symptoms of mild intracerebral hemorrhage are mainly relatively common symptoms such as headache, nausea, vomiting, etc., and some different symptoms will occur depending on the location of the intracerebral hemorrhage. If the cerebral hemorrhage occurs in the frontal lobe, which is the emotional organ of the human body, there will be some personality changes, such as the original introverted personality, which is now an extroverted personality. If it is in the parietal lobe, because the parietal lobe is basically the motor center of the human body, it will cause numbness and weakness of the limbs, and there are also dysfunctions.

If the bleeding is in the occipital lobe, which is the center of vision, there will be visual field defects and decreased vision. Sometimes it is in the temporal lobe, and it will manifest as epilepsy. Therefore, it is important to pay attention to identifying the associated symptoms and thus making the associated **.

1. Suddenly feel dizzy, the surrounding scenery rotates, stands unsteadily or even faints to the ground. These manifestations may occur once or may be repeated or progressively worsening.

2. Nosebleeds: Some people often have recurrent nosebleeds before the onset of cerebral hemorrhage.

3. The base of the tongue is hard, the corners of the mouth drool, suddenly feel the base of the tongue is stiff, the tongue is swollen, and the speech is not clear, or there is sudden drooling at the corner of the mouth, unable to speak or slurred speech.

4. Suddenly feel numbness, weakness, inconvenience in one side of the body, falling of hand-held objects, crooked mouth, salivation, and unsteady walking.

Intracerebral hemorrhage manifests itself in different symptoms:

1) Internal capsule hemorrhage: It is the most common bleeding site. Its typical clinical manifestations are contralateral "three deviations" (hemiplegia, hemisensory impairment, hemianopia).

The internal capsular hemorrhage is more extensive, and the symptoms of nerve damage are more severe. However, if the bleeding is biased to the outside of the internal capsule, mainly damaging the external capsule, the clinical symptoms are more mild, there is no unconscious disorder, hemiplegia is also mild, and the prognosis is better;

2) Thalamic hemorrhage: If it is a thalamic hemorrhage on one side and the amount of bleeding is small, the contralateral paresis and contralateral hemiplegia sensory impairment, especially the proprioceptive impairment is obvious. If the bleeding is heavy and the damaged area spreads to the contralateral thalamus and the lower part of the thalamus, there will be vomiting coffee-like, vomiting with frequent ejections, polyuria, urine sugar, quadriplegia, and eyes staring at the tip of the nose.

The disease is often critical and the prognosis is not good;

3) Lobar hemorrhage: also known as subcortical white matter hemorrhage, can occur in any lobe. In addition to headache and vomiting, the clinical manifestations of hemorrhage in different lobes are also different.

For example, frontal lobe hemorrhage may cause psychiatric symptoms, such as irritability, doubt, contralateral hemiplegia, motor aphasia, etc.; parietal lobe hemorrhage with contralateral sensory deficits; Temporal lobe hemorrhage may cause sensory aphasia, psychiatric symptoms, etc.; Occipital lobe hemorrhage is most common with hemianopia. Lobar hemorrhage is generally milder and has a relatively good prognosis;

4) Pontine hemorrhage: Pontine hemorrhage is a common site for brainstem hemorrhage. The early manifestations are lateral paralysis of the affected area and spread out of the contralateral limb, which is called cross paralysis.

This is a clinical feature of pontine hemorrhage. If the amount of bleeding is large, it will affect the contralateral side, and quadriplegia, miosis, high fever, coma and other symptoms will occur; If the blood breaks into the fourth ventricle, severe symptoms such as convulsions and irregular breathing will occur, and the prognosis is not good;

5) Cerebellar hemorrhage: if the amount of bleeding is small, the clinical manifestations are often dizziness first, followed by severe headache, frequent vomiting, unsteady walking, and slurred speech; If the hemorrhage is large, compressing the medulla life center, severe cases can cause sudden death;

6) Ventricular hemorrhage: generally divided into primary and secondary, primary ventricular hemorrhage is intraventricular choroid plexus rupture hemorrhage, which is relatively rare. Secondary cases are caused by massive intracerebral hemorrhage, which penetrates the brain parenchyma and flows into the ventricles.

Clinical manifestations include vomiting, excessive sweating, purple or pale. 1 2 hours after the onset of the disease, he fell into a deep coma, high fever, quadriplegia or tonic convulsions, unstable blood pressure, irregular breathing, etc. The disease is mostly severe and the prognosis is poor.