Doctor insights on:
Bleeding On The Brain In The Elderly
Multiple ways: During the fall, if the brain is thrust against the boney skull, it can be injured producing a small hemorrhage. A second mechanism, the bridging veins between the dura and the brain are torn producing a subdural hematoma. With lateral skull fracture, the middle meningeal artery can be torn producing an epidural hematoma. With violent falls, traumatic subarachnoid hemorrhages due to arterial tears. ...Read more
What are brain contusions? How severe are they? What effects can they have on a person? I had bleeding on the brain and two contusions from an mva.
Traumatic injury: A contusion is a bruise so these can range from mild to very severe, depending on the type of injury and the location. They can lead to long-term brain damage if they are not treated appropriately, specifically reducing any pressure inside the head and locating and stopping any associated bleeds. ...Read more
My husband is in ticu after falling off a ladder and hit his head on concrete. He has some bleeding on the brain. When neurosurgeon comes in what questions should I ask?
A lot depends on what the surgeon recommends. Not all bleeding requires surgery. Much depends on the severity of the bleeding and the condition of the patient. I would start with:
How bad is the injury? What are his chances for a good recovery? What can be done to improve the chances?
Good luck. ...Read more
Blood vessel disease: Defects of blood vessels in the brain can result in brain bleeding. The most common is avm, then aneurysms. These can be congenital or acquired. Some bleeding can be caused by high blood pressure. Bleeding disorders including homophilia and sickle cell can cause brain bleeding. Trauma and shaking will result in bleeding over or into the brain. Severe infections may cause bleeding as well. ...Read more
Premature?: Premature infants are subject to bleeding into their brains. These bleeds are given grades 1, 2, 3, 4. Grade 2 intraventricular hemorrhage (ivh) is blood into the ventricle but without dilation and without extension into the brain. Grade 3 is major blood throughout the ventricles with dilation. Grade 4 is bleeding into the substance of the brain. ...Read more
Intensive care: Bleeding into the brain is serious. The cause must be found quickly. Emergency surgery may be necessary to save life. Then careful recovery with rehabilitation needs to be planned and initiated. Careful and appropriate medical follow up is very important. ...Read more
Bleeding in brain: Bleeding in the brain from a ruptured aneurysm, trauma, hypertensiou or intrusion can cause spasm of blood vessels cutting off blood to parts of the brain. It is often associated with brain swelling or an increase in intracranial pressure which can cause pressure on structures that control breathing and heart beat. ...Read more
Location and degree: Tiny "lacunar" strokes which are pinpoint bleeds due to high blood pressure may go undetected whereas bleeding into the subarachnoid space from trauma, ruptured aneurysm, or congenital malformation may cause intense headache, seizure, coma and death. Depending on amount and location, a variety of stroke syndromes may occur. ...Read more
High blood pressure: Most commonly high blood pressure (hypertension), which puts a toll on small brain blood vessels which can rupture and bleed, usually at older age. Other causes include brain aneurysms, vascular malformations, tumors, head injury, amyloid angiopathy, use of stimulants including street drugs, medications such as blood thinners, brain surgery, cerebral venous thrombosis etc. ...Read more
Depends on cause:
Brain bleeding can be caused by a variety of conditions. Some are sudden. Such as those from aneurysms, avms or hemorrhagic strokes, and produce severe headaches. Chronic bleeding into a subdural hematoma can cause constant pain. After a bleed, the breakdown products of blood can cause a chemical irritation and produce headaches chronically.
Brain bleeding requires urgent attention. ...Read more
Depends: A bleed in (or on) the brain can happen following trauma but also be due to vascular lesions and stroke. Bleeding in the wrong part of the brain can lead to significant functional loss. If you think you have a bleed in the brain you need to get to the er immediately. Since most brain bleeds are random events, you shouldn't worry about this as it is not that common. ...Read more
Brain bleeding: This is entirely dependent upon the location of the bleeding and the site of the bleeding. For example, you can have quite a large bleeding in the front of the brain on one side and the only symptom might be headache (or even no symptoms). A very small hemorrhage in certain locations deep in the brain can cause paralysis on one side of the body or even coma. ...Read more
Compression: Bleeding in the brain takes up space, which puts pressure on the nerves of the brain. When the pressure is high enough, this renders those nerves non-functioning. Small bleeding may cause no symptoms, and not real damage, large bleeding can lead to death. ...Read more
More info: I'm very sorry to hear. It depends on how much bleeding, where its bleeding, and how is he functioning. ...Read more
Blood out of bounds: Brain bleeding exists whenever blood is present within the skull outside of the blood vessels (vein, artery, capillary). Blood can be in brain, in CSF spaces including ventricles, subarachnoid, subdural, or epidural. Damage is a function of volume, speed of accumulation and location of brain structures affected. Surgery is often needed. ...Read more
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