What are the factors that cause intracerebral hemorrhage? What causes intracerebral hemorrhage

Intracerebral hemorrhage refers to non-traumatic intraparenchymal hemorrhage, which accounts for 20% to 30% of all cerebrovascular diseases in China.

Second, cerebrovascular amyloidosis: it is more common in cerebral lobes hemorrhage, and patients usually have cerebral lobe hemorrhage. 3. Cerebral arteriovenous malformation.

The main causes of intracerebral hemorrhage include:

1. Elderly: hypertension stimulates cerebral arteriosclerosis, local aneurysms or small aneurysms, elderly people over 80 years old, amyloid angiosis is prone to hypertension**;

2. Young people or children: **Including aneurysms, arterial malformations, venous malformations, cavernous hemangiomas, moyamoya disease, etc.;

3. Women of childbearing age: ** related to venous factors, common venous sinus thrombosis leads to venous return disorder;

4. Others: hematologic diseases, resulting in coagulation dysfunction, etc. The pathogenesis is:

Arteriosclerosis causes a decrease in the elasticity of cerebral arteries, or produces small aneurysms, and when excited or active, on the basis of high blood pressure, blood pressure rises suddenly, causing blood vessel rupture, most commonly in the deep branch of the middle cerebral artery. Blood enters the brain parenchyma and destroys brain tissue, resulting in a series of clinical symptoms.

Intracerebral hemorrhage is one of the more common and serious diseases in acute cerebrovascular disease. It has a higher mortality and disability rate than other acute cerebrovascular diseases. Therefore, it is necessary to ask for a detailed medical history, a comprehensive physical examination, and a meticulous and thoughtful analysis at the time of diagnosis, and strive to make a clear diagnosis as soon as possible, and actively and effectively carry out the diagnosis.

Common causes of cerebral hemorrhage 1. Hypertension: Hypertension is the most important cause of cerebral hemorrhage. Intracerebral hemorrhage occurs on the basis of hypertension and cerebral arteriosclerosis, and many microaneurysms can be formed on perforated arteries in the brain, mainly distributed in the lenticular artery, pontine brain, cerebral white matter and cerebellum in the basal ganglia of the brain.

When blood pressure rises suddenly, the microaneurysm may rupture and bleed. Or due to long-term hypertension, vitreous degeneration or fibrous necrosis of the intima in the wall of the perforating artery in the brain parenchyma, it is easy to rupture and bleed when blood pressure or blood flow changes sharply. 2. Cerebrovascular amyloidosis (CAA):

Also known as "Congo erythropathy", abnormal amyloid is selectively deposited in the cerebral cortex and the medial and adventitudial membranes of the small and medium-sized arteries and veins of the leptomeninges. Because the cerebral cortex and leptomeninges are prone to cerebrovascular amyloidosis, intracerebral hemorrhage caused by this lesion always occurs in the lobes of the brain, and the deep tissues of the cerebral hemispheres, brainstem, and cerebellum are rarely affected. 3. Intracranial aneurysm and cerebrovascular malformation:

They are a common cause of subarachnoid hemorrhage, but there are also cases where hemorrhage breaks into the brain parenchyma to form an intracerebral hematoma. 4. Anticoagulants and fibrinolytics: such as heparin or aspirin** can also cause cerebral hemorrhage.

5. Blood diseases: such as leukemia, aplastic anemia, thrombocytopenic purpura and hemophilia. 6. Intracranial malignant tumors:

For example, glioma, metastasis, melanoma, etc., intracerebral hemorrhage can be formed when tumor stroke occurs. 7. Others: arteriosclerosis, various cerebral arteritis, hemorrhagic cerebral infarction, etc.

How to diagnose intracerebral hemorrhageFirst of all, it is necessary to grasp the general characteristics of acute cerebrovascular disease of intracerebral hemorrhage. Secondly, it is necessary to grasp the characteristics of cerebral hemorrhage itself. Acute cerebrovascular disease is characterized by an acute onset and rapid progression, often peaking within minutes, hours, or days.

At the same time, there are clear signs of localization. Focal localized signs of brain impairment often appear within a short period of time after onset. Third, there is a significant acute cerebral circulatory disorder.

Diffuse, pancerebral symptoms such as impaired consciousness, intracranial hypertension, and impaired visceral function occur acutely after the onset of the disease.

Condition analysis: Hello cerebral hemorrhage.

BAI disease is more common in men and women between the ages of 40 and 60. Any factor that can cause a sudden increase in blood pressure can be used.

DAO becomes the direct cause of cerebral hemorrhage, such as strenuous activity, emotional agitation, straining to defecate, etc. Suggestions: In addition, the following factors can also induce cerebral hemorrhage: 1. Alcoholism, 2. Agitation, 3. Increased abdominal pressure, 4. Taking a hot bath, 5. Smoking.

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, which is 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 long-term 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.

High blood pressure, hyperlipidemia, smoking. Emotions are easily agitated and other crowds.

In intracerebral hemorrhage, primary pontine hemorrhage accounts for about 2% to 10% and is mainly caused by rupture of the parabranchial median artery of the basilar artery. Common** are high blood pressure and arteriosclerosis. A small number of patients may be caused by intrapontine vascular malformations, hematologic disorders, or tumors.

It is more common in middle-aged and elderly people, and it is mostly induced by emotional agitation and exertion. ** 1.Hypertension; 2.

cerebral atherosclerosis, cerebral arteritis; 3.hematologic disorders (leukemia, aplasia, thrombocytopenic purpura, hemophilia, polycythemia, sickle cell disease); 4.cerebral amyloid angiopathy; 5.

aneurysms, arteriovenous malformations, moyamoya disease; 6.dural venous sinus thrombosis; 7.dissecting aneurysm; 8.

primary or metastatic tumors; 9.Post-infarct intracerebral hemorrhage, anticoagulation, or thrombolysis**;

High blood pressure, hyperlipidemia, smoking. Easily agitated, overtired, intense exercise, and other crowds.