Sudden intracerebral hemorrhage without any symptoms may be the cause of intracerebral hemorrhage

My friend's mom came to visit us recently.

In the past month, there have been quite a few places, although he is old.

But it looks very energetic.

Since my friend's mother used to be a teacher.

It may seem to be in a better state of mind.

However, recently on the train home, I had two sudden brain hemorrhages in a row.

It was fine.

So I felt very uncomfortable when I got home for dinner.

He was sent to the hospital to find out that he had a cerebral hemorrhage and was accompanied by cerebral calcification.

The patient does not usually have any medical conditions such as high blood pressure.

What could be the cause?

So that the doctor can understand the condition and give diagnosis and treatment suggestions.

Cerebral hemorrhage, also known as cerebral hemorrhage, has a rapid onset, a dangerous condition, and a very high mortality rate, and is the most serious kind of acute cerebrovascular disease, which is one of the fatal diseases in the middle-aged and elderly at present.

Middle-aged and elderly people are the main population of cerebral hemorrhage, with 40-70 years old as the main age of onset, and the cause of cerebral hemorrhage is mainly related to cerebrovascular lesions and sclerosis. Vascular lesions are closely related to hyperlipidemia, diabetes, hypertension, aging of blood vessels, smoking, etc. Intracerebral hemorrhage, commonly referred to as spontaneous primary intracerebral hemorrhage, is commonly referred to as spontaneous primary intracerebral hemorrhage.

Patients often have a sudden onset of illness due to emotional agitation and exertion, manifested as aphasia, hemiplegia, and unconsciousness in severe cases, and more than half of the patients are accompanied by headache and vomiting.

The main causes of cerebral hemorrhage are prolonged hypertension and arteriosclerosis. In the vast majority of patients, blood pressure rises markedly at the time of onset, leading to rupture of blood vessels and causing intracerebral hemorrhage.

Intracerebral hemorrhage is non-traumatic intraparenchymal hemorrhage. The vast majority of cerebral arteriolar lesions associated with hypertensive disorders are caused by rupture when blood pressure rises sharply, which is called hypertensive intracerebral hemorrhage.

Common causes of intracerebral hemorrhage include aneurysms, arteriovenous malformations, arteriosclerosis, intracranial tumors, and so on.

There are two types of external trauma in intracerebral hemorrhage, which will lead to craniocerebral lesions. Here, we discuss cerebral hemorrhage caused by one's own lesions. This cerebral hemorrhage and cerebral infarction is called stroke, which is the style of the people's brain.

In many cases, cerebral hemorrhage is completely asymptomatic and the incidence is sudden, so describing these diseases abroad is "as if called by God"! Some cases have a facilitation of cerebral hemorrhage, what is usual?

1. The headache is obvious.

When a brain hemorrhage is imminent, many people produce signals. If they are always dizzy, it can be a sign from a brain hemorrhage. Generalized headache is also the first symptom of intracerebral hemorrhage.

There will be significant pain in some part of the bleeding. As the bleeding becomes severe, many people may also have significant pain after an increase in intracranial pressure. If dizziness is always present, corrective measures need to be taken.

It is only by controlling the bleeding as soon as possible that it can only prevent the headache from becoming apparent.

2. Pupils are not equal.

When a cerebral hemorrhage is imminent, there may be an adverse reaction in the eye. Many people have abnormal manifestations under the influence of cerebral hemorrhage, especially students, which will be more noticeable. Because of the increase in cerebral hemorrhage and the increase in intracranial pressure, there is no such phenomenon, and some people will have eye mobility disorders.

If there is already an important signal that needs to be reminded of the cerebral hemorrhage, after I go to the hospital for the first time**, it is controlled by a reasonable way, otherwise the cerebral hemorrhage is serious and may threaten the health of the patient.

3. Obvious vomiting.

The occurrence of intracerebral hemorrhage will have an impact on the human body. Many patients have distinct features at the time of onset. This condition also alerts the appearance of cerebral hemorrhage.

Because it is not caused by a gastrointestinal disorder, it may be a sign of a brain hemorrhage. At this point, parenchymal hemorrhage in the brain causes the inclination of the patient's intracranial pressure. With a significant increase in intracranial pressure, the patient's apparent presentation is vomiting.

Therefore, inexplicable vomiting properties can be one of the signals of cerebral hemorrhage, and the risk of health threats should be reduced in time.

4. Symptoms of aphasia.

More severe intracerebral hemorrhages cause symptoms due to damage to the middle of the cerebral cortex, resulting in loss of speech. Mainly based on clinical manifestations and damaged components, it is divided into sensitive vesicles, mixed loss, mobile deformation, and nomenclature. Symptoms of intracerebral hemorrhage vary depending on the severity of the condition, and not all patients with intracerebral hemorrhage are present.

In short, patients with risk factors such as hypertension should pay attention to the above symptoms, at the same time, there may be some incentives before cerebral hemorrhage, such as emotional excitement, strength, strenuous exercise, sex life, temperature changes, etc. Special attention should be paid to the daily life of patients with hypertensive diseases, while controlling normal blood pressure according to expert guidance.

You will have a headache, dizziness, and you will be unable to speak in the morning, so you must go to the hospital in time if you have these symptoms.

Intracerebral hemorrhage has an acute onset and is usually accompanied by impaired consciousness, with headache and projectile vomiting due to increased intracranial pressure. Depending on the location of the bleeding, hemiplegia and hemisensory disorders may occur.

Symptoms such as drowsiness, coma, vomiting, impaired consciousness, impaired eye movement, headache and so on will occur.

The symptoms of cerebral hemorrhage are similar to the symptoms of cerebral infarction, the brain tissue depends on the blood in the blood vessels to supply nutrients, whether the blood vessels are blocked, or the blood vessels are ruptured and bleeding, it will lead to the corresponding brain tissue ischemia, resulting in the loss of the function of this part of the brain tissue, and the following symptoms can occur:

1. Hemorrhage in the area responsible for motor function, resulting in hemiplegia;

2. Bleeding at the site of innervation of consciousness function, resulting in coma and headache;

3. Intracranial pressure increases after hemorrhage, resulting in nausea, vomiting and blurred vision.

The human brain is like a walnut, composed of the left and right hemispheres, the internal capsule and subcortical white matter, the basal ganglia, the diencephalon, the brainstem and the cerebellum.

Higher neural activities such as motor, sensory, cognitive, emotional, language, and behavioral are associated with the left and right hemispheres.

Voluntary movements, muscle tone, posture, and complex behavioral activities are controlled by basal ganglia coordination.

Cerebrovascular and cranial nerves grow together, cranial nerves rely on cerebrovascular nutrition and oxygen, cerebrovascular is the blood conduit of the brain, and cranial nerves are branches.

With all the functional cells of the body, cerebral blood vessels rupture and hemorrhage, and the first thing that affects is the cranial nerves.

So, what are the main signs of cerebral hemorrhage?

After the onset of cerebral hemorrhage, one of the most prominent symptoms is severe headache and dizziness. It usually peaks within a few minutes or even half an hour.

Depending on the site of bleeding, it manifests:

Severe behavioral and language disorders, mainly hemiplegia and limb paralysis. Linguistically manifested as aphasia.

In addition, nausea and vomiting may occur, often accompanied by a marked increase in blood pressure. Facial flushing, sweating, etc. It may lead to cognitive decline.

In severe cases, there will also be impaired consciousness, mostly manifested as drowsiness, lethargy and even coma, and some patients may present with ocular hemianopia.

Produces epilepsy, which is convulsions of the limbs.

Incontinence may also occur. It can also cause ataxia, such as a slow pulse such as unsteady walking.

Massive hemorrhage can also cause a marked increase in intracranial pressure, flaccid paralysis of the extremities, decrepebrate rigidity, pinpoint pupils, hypotonia, and Babins.

Positive signs and other major symptoms.

In life, we have encountered some patients with cerebral hemorrhage, mostly in middle-aged and elderly people between 50 and 60 years old, and it is more common in men. And the onset of cerebral hemorrhage.

Most of them are related to cardiovascular diseases such as hypertension and diabetes, and many patients will also suddenly exert too much force and have serious changes in the climate.

Smoking, drinking, or even emotional situations occur in patients with cerebral hemorrhage, and the incidence is more common in winter and spring.

We understand the clinical symptoms of patients with cerebral hemorrhage as early as possible, and conduct active and comprehensive examinations, and once the symptoms appear, we should go to the hospital for treatment in time.

At the same time, we should develop daily eating habits in daily life, eat more fresh vegetables and fruits and other vitamins, and avoid over-excitement, avoid over-exertion, or do not add clothes when the weather changes seriously, so as to ensure our good health.

Dizziness, headaches, and inability to sleep may occur, causing insomnia, and it can also reduce the rate of metabolism and loss of our memory.

The first thing about cerebral hemorrhage must be that the blood vessel is broken, and after the blood vessel is broken, our blood flows to the outside of the blood vessel, which is called cerebral hemorrhage. So why does a cerebral hemorrhage occur? Intracerebral hemorrhage is generally closely related to high blood pressure, so why we repeatedly emphasize that we must control blood pressure when we have high blood pressure, it is to prevent intracerebral hemorrhage.

Intracerebral hemorrhage is a very serious, life-threatening disease, then the amount of bleeding, according to the amount of bleeding its symptoms are also different, some slight and small cerebral hemorrhage may not have symptoms, you do not have some uncomfortable feelings, if the amount of bleeding is relatively large, you may have severe headache, projectile vomiting, including dizziness, limb paralysis this series of symptoms.

Patients with cerebral hemorrhage may feel tired, confused, blurred eyes, unable to speak, nausea, vomiting, etc., and patients with cerebral hemorrhage may also experience numbness of the limbs.

1. Suddenly feel numbness, weakness, inconvenience in moving on one side of the body, falling hand-held objects, crooked mouth, salivation, and unsteady walking. 2. When talking to others, you suddenly can't speak, or you can't speak slurred, or you can't understand other people's words. 3. Temporary blurred vision, which can return to normal on its own in the future, or blindness.

4. 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.

1.Focal symptoms: symptoms of brain parenchyma destroyed by hemorrhage, such as central hemiplegia, facial paralysis, tongue paralysis, cross palsy, aphasia, and sensory disturbances.

2.Whole-brain symptoms: due to hemorrhage, cerebral edema, and increased intracranial pressure, such as headache, vomiting, drowsiness, and coma.

A small amount of intracerebral hemorrhage may be unconscious or mildly impaired, focal symptoms are easy to find, and symptoms of increased intracranial pressure such as headache and vomiting are mild or absent. Symptoms and signs of intracerebral hemorrhage vary depending on the location of the hemorrhage and whether it is in the acute or convalescent phase.

3.Acute phase: Bleeding near the basal ganglia:

It can be divided into mild and severe. Some mild cases can also progress to severe disease, i.e. progressive intracerebral hemorrhage. Small intracerebral hemorrhages are mild, and the site is mostly lateral.

A few have prodromal symptoms, a few have sudden headache, nausea or vomiting, clear consciousness or mild impairment, central hemiplegia or incomplete hemiplegia on the opposite side of the lesion, facial and tongue paralysis, hypoesthesia may occur on the paralyzed side, and pathological reflexes can also be elicited, such as two-eye staring, most are biased to the bleeding side. Most dominant hemisphere hemorrhages may be associated with aphasia, high blood pressure, and a strong pulse. If **1 2 days no longer develops or recovers, it can be transitioned to the recovery period.

Small intracerebral hemorrhages rarely occur medial to the internal capsule or mixed. Pontine hemorrhage: a small amount of hemorrhage is mainly on one side, mostly without conscious impairment or very mild impairment of consciousness, facial nerve, abducens nerve and limb cross-leggy, cross-consciousness disorder, nuclear or internuclear ophthalmoplegia and ataxia and other signs, as well as dysuria and blinking.

Because the amount of bleeding is small, only one symptom and sign may be present. Cerebellar hemorrhage: small hemorrhage is mostly confined to the cerebellar hemispheres, mainly due to vertigo, headache, and vomiting.

Cerebellar symptoms such as nystagmus and ataxia may be detected. May be unconscious and paralyzed. (Ventricular hemorrhage:

The onset is acute, the headache is severe, and thalamic and brainstem symptoms often appear, such as tonic convulsions, spitting coffee-like residue-like fluid, pupil-like pupils, excessive sweating, and high fever. In secondary ventricular hemorrhage, hemiplegia may occur in the early stages, while hypothalamic and brainstem symptoms occur later than primary ventricular hemorrhage.

4.Recovery period: Patients with hemiplegia with a small amount of ventricular hemorrhage generally recover gradually from the lower limbs. People who do not have motor impairment recover quickly.

Intracerebral hemorrhage, a small amount, the blood spilled from the hemorrhage can compress the nerves, causing the compressed brain to malfunction. Avascular necrosis of tissues distal to the hemorrhagic vessel may occur. So it leads to the above neurological symptoms.

**There are the following measures: 1. Reduce intracerebral pressure. Surgery to clear blood is one thing, but also mannitol and other things to reduce cerebral pressure.

Second, nutritional neurological drugs. Now the nerves need nourishment. Third, the use of acupuncture and massage of traditional Chinese medicine will be conducive to the repair of hemiplegia.

<> 58-year-old Aunt Huang suddenly suffered a cerebral hemorrhage.

At 10 o'clock in the morning, 58-year-old Aunt Huang suddenly felt a headache, the degree was more severe, accompanied by vomiting symptoms, no limb convulsions, no limb weakness or limb numbness and other abnormalities, Aunt Huang did not pay attention to it at the time, thinking that maybe it was an ordinary headache. However, it was not until after taking a nap in the afternoon that the headache was still relatively serious, and the symptoms still did not improve after resting, so I came to the hospital with my family to see an emergency.

At 3 o'clock in the afternoon, Aunt Huang checked the cranial brain CT in the hospital and showed that the right side of the sellar and subarachnoid hemorrhage, indicating the possibility of aneurysm rupture, electrocardiogram showing sinus rhythm, normal electrocardiogram. There was no obvious abnormality in blood routine and coagulation routine.

Aunt Huang has a history of hypertension for about 5 years, no history of diabetes, coronary heart disease, cerebral infarction, kidney disease, etc., denies a history of hepatitis, tuberculosis, typhoid fever, etc., and has no history of trauma. The doctor diagnosed Aunt Huang with cerebral hemorrhage and high blood pressure, and quickly arranged for her to be hospitalized**, and pointed out that the rupture of a cerebral hemangioma caused by high blood pressure was the cause of cerebral hemorrhage!

Neurologists pointed out: People with high blood pressure must be vigilant when they have these symptoms!

Hypertension, hyperglycemia and hyperlipidemia are recognized risk factors for intracerebral hemorrhage, among which hypertension is the most dangerous factor. If the blood pressure is not well controlled, high blood pressure will make the endothelial cell membrane of the human blood vessels, cholesterol enter it, and accumulate more and more plaques, resulting in vascular arteriosclerotic lesions, with the passage of time, the plaques will grow larger and larger, resulting in obvious narrowing of the vascular lumen, and if there is a hemangioma in the brain, once the blood pressure rises suddenly, it will lead to a sudden rupture of plaque, resulting in cerebral hemorrhage, resulting in life-threatening.

When a person with high blood pressure has a severe headache, especially when it is accompanied by vomiting, a high level of suspicion is required for intracerebral hemorrhage. Because of the sudden increase in intracranial pressure at the moment of severe aneurysm rupture subarachnoid hemorrhage, nearly half of the patients have a sudden transient loss of consciousness, followed by an instantaneous unbearable headache, and due to the increase in intracranial pressure, it is often accompanied by vomiting symptoms. However, after the aneurysm ruptures and hemorrhages, the surrounding brain tissue or subdural space and the formation of hematoma will have a mass effect, which can manifest as hemiplegia (weakness of one limb, abnormal gait or inability to walk), aphasia (slurred speech), and loss of consciousness (drowsiness, coma).

In short, if a friend with high blood pressure suddenly has severe headache, vomiting, hemiplegia, slurred speech and other symptoms, he must be alert to the possibility of cerebral hemorrhage and go to the hospital in time! At the same time, we should remind friends with high blood pressure not to give up the standardized blood pressure medication because of some rumors that blood pressure medication hurts the liver and kidneys and causes cancer, and can not be fooled by unscrupulous health care product merchants to replace blood pressure medication with health care products, because health care products cannot really have a blood pressure lowering effect, and at the same time, we should also pay attention to improving our lifestyle, changing our unhealthy lifestyle, controlling diet, controlling salt intake, controlling weight, quitting smoking and limiting alcohol, and actively exercising, so as to stay away from cerebral hemorrhage.