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Doctor insights on: Hemorrhagic Conversion Of Stroke

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What happens if you have a hemorrhage stroke & it keeps bleeding?

What happens if you have a hemorrhage stroke & it keeps bleeding?

Death: If a person continues to bleed inside of their skull, the swelling eventually cuts off blood flow to the small vessels of the brain and it dies. Depending on the type of hemorrhage, a neurosurgeon can operate to relieve the pressure and control the bleeding. There are medications that can be used to reduce the pressure temporarily. Unfortunately hemorrhagic strokes are very serious and deadly. ...Read more

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What is a hemorrhagic stroke?

What is a hemorrhagic stroke?

Stroke: Bleeding in the brain is called hemorrhagic stroke. Blood vessels or brain aneurysm may rupture causing blood leakage, uncontrolled blood pressure, ruptured of aneurysm, cocain may cause hemorrhagic stroke. ...Read more

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Are hemorrhagic strokes preventable?

Are hemorrhagic strokes preventable?

Somewhat: Hemorrhagic strokes can be associated with high blood pressure, which can be controlled. There may also be weakened blood vessels (aneurysms) but, unless family history, screening for these is less than fruitful. The other major cause is head trauma - which obviously has potential to be prevented. ...Read more

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Has any one any experience treating a hemorrhagic stroke?

Has any one any experience treating a hemorrhagic stroke?

Although the non hem: Although non hemorrhagic strokes generally are more common, neurologist and physical medicine and rehabilitation specialist (physiatrist) commonly treat and oversee rehab programs for this populatiion.
I frequently care for patients with hemorrhagic strokes on our rehab unit. ...Read more

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After hemorrhagic stroke what are the chances of surviving?

NOT GREAT: If subarachnoid hemorrhage from aneurysm, about 50% die within the first few days in hospital. If intracranial bleed, with/without stroke, the death rate within year one approaches 60%. Figures have remained constant for years. A generic suggestion, control blood pressure diligently. ...Read more

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My sister just had a hemorrhagic stroke, What can you tell me about this?

My sister just had a hemorrhagic stroke, What can you tell me about this?

A few facts: This type of stroke is often associated with high blood pressure, and may be accompanied by long term risks of recurrent bleeding if not handled with care, as risk factors must be treated and prevention is critical. Rehab steps such as PT, OT, and speech may be of value. ...Read more

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What do you suggest if my sister just had a hemorrhagic stroke, have a few questions?

What do you suggest if my sister just had a hemorrhagic stroke, have a few questions?

Depends on location: The size and location of the hemorrhagic stroke will determine the outcome. If is very large and causing pressure on the surrounding brain, it may need to be removed by a neurosurgeon. If it is in an area that controls speech or movement, there will likely be long term deficits. If it is a small bleed, it will likely resorb over time and she may not need surgery. ...Read more

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What are the chances of surviving a hemorrhage stroke?

Possible: Survival after hemorrhagic stroke depends largely on location and size of the bleeding so it is impossible to say what the chances of survival are without more information. That said, many survive and of those some with minimal deficit. ...Read more

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Can you tell me about ischemic/hemorrhagic stroke?

Can you tell me about ischemic/hemorrhagic stroke?

Stroke: There are 3 major types of stroke: ischemic (meaning loss of circulation) in which an artery supplying the brain becomes blocked (occluded), hemorrhagic (in which a blood vessel bursts and there is free bleeding into the space between the brain and skull (subarachnoid hemorrhoid) or into the brain itself), and embolic (in which a clot drifts downstream in an artery and becomes lodged in the brain) ...Read more

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My dad has had a hemorrhagic stroke can you help please. What should we do?

Supportive care: Since you use the term "had", it seems that your dad has survived the acute phase. Thus, the natural history of the hemorrhagic stroke is that the body will slowly absorb the blood and the surrounding edema will go away. Certainly, your neurologist can help with preventing future strokes. But to help functionally, he will need physical, occupational, and speech therapy. ...Read more

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Is aphasia a symptom of hemorrhagic stroke?

Is aphasia a symptom of hemorrhagic stroke?

It's possible: Aphasia (inability to speak or understand speech) is caused by damage (ischemia or hemorrhage- bleeding) to certain parts of the brain (usually on the left brain for right handed patients) that control speaking and understanding speech. Tumors in those areas can also affect speech. ...Read more

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Can you take asprin after a hemorrhagic stroke?

Avoid ASA: Likely best that you do not use Aspirin at anytime in future. There are other ways of preventing a future stroke which work far better, and if arthritis or headache pains are issues, tylenol (acetaminophen) might be tried instead. You need to uncover what caused your stroke, and also, stop smoking now! It is an additional risk factor. ...Read more

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What is the difference between hemorrhage and embolic stroke?

What is the difference between hemorrhage and embolic stroke?

Bleed vs blockage: Hemorrhagic strokes usually refer to bleeds within the parenchyma or substance of the brain (though subarachnoid bleeding - from an aneurysm or such- is rarely and loosely referred to as a hemorhagic stroke). An ischemic stroke is when brain tissue dies (infarcts) due to a lack of blood flo from a clot or small vessel blockage. It is not uncommon for some bleeding to occur within an infarct. ...Read more

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Can you take asprin after a hemorrhagic stroke it's been a year?

Usually yes: Typically yes. The risk of bleeding is typically less after 6-12 weeks and there is some protection. Talk to your pcp. ...Read more

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What is the difference between an aneurysm and a hemorrhagic stroke?

What is the difference between an aneurysm and a hemorrhagic stroke?

CausesHemorrhagicStr: Ruptured Aneurism causes stroke by Hemorrhage in the Brain ...Read more

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What is the standard IV dosage of cardene (nicardipine) for a hemorrhagic stroke?

What is the standard IV dosage of cardene (nicardipine) for a hemorrhagic stroke?

Cardene (nicardipine) dose: Cardene, the sustained release nifedipine pill, is usually given as 30, 45, or 60 mg twice per day. The prescribed dose may vary with metabolism and efficacy.

IV forms of nifedipine or nicardipine are given as different (smaller) doses, on a continuous intravenous basis. ...Read more

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During an amniocentesis procedure blood was drawn. Is it possible that cause a hemorrhagic stroke?

During an amniocentesis procedure blood was drawn. Is it possible that cause a hemorrhagic stroke?

Not likely: I would not ever expect a stroke to occur due to either amniocentesis or blood being drawn, and would expect a hemorrhagic stroke to be secondary to a pre-existing problem such as a local vascular malformation. ...Read more

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Is it possible to survive a hemorrhage stroke when the bleeding is already 5 centimeters & still bleeding?

Yes: The long term result depends on the amount of brain damage that occurs. Very small strokes can kill and sometimes large strokes can be recovered from. ...Read more

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How can you tell difference between hemorrhage or embolism stroke?

How can you tell difference between hemorrhage or embolism stroke?

Need imaging: Clinically you really can't tell easily which patient has had a hemorrhagic vs an ischemic (because of an embolus) stroke. There are some subtle clinical clues that are beyond what can be discussed here, but the easiest way to tell is a ct of the head. Often hemorrhagic strokes will show up on a non-enhanced ct right away while ischemic strokes often show no changes immediately. ...Read more

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What's the difference between ischemic stroke, hemorrhagic stroke, and embolic stroke?

What's the difference between ischemic stroke, hemorrhagic stroke, and embolic stroke?

Pathophysiology: Ischemic stroke occurs when an artery to the brain is blocked. A thrombotic stroke occurs when diseased or damaged cerebral arteries become blocked by the formation of a blood clot within the brain. An embolic stroke is also caused by a clot within an artery, but in this case the clot (or emboli) forms somewhere other than in the brain itself. Hemorrhagic stroke is sudden bleed into the brain. ...Read more

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I had a hemorrhagic stroke about 1 year ago and what can I take to prevent ischemic stroke?

Complicated: If your stroke was secondary to embolism, consider anti-coagulant, such as warfarin or pradaxa. If this was thrombotic, with secondary bleeding, a good choice might be aggrenox. You are best advised to see a hospital based neurologist who focuses on stroke treatment and prevention. ...Read more

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Still unconscious after 2 days from subarachnoid hemorrhagic stroke but can move entire body and is responsive to some commands.?

Wait and see: Improvement is typical but extent of recovery is variable. Ask the neurologist who has examined this person as that doctor will have the best judgement of prognosis. ...Read more

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If a hemorrhagic right occipital stroke only effects the eyes than why can;t I think clearly and off balance sometimes it has been 2 years, off meds?

If a hemorrhagic right occipital stroke only effects the eyes than why can;t I think clearly and off balance sometimes it has been 2 years, off meds?

Occipital stroke: The stroke affected your occipital lobe and your visual field. The adjacent area in the medial temporal lobe are often affected at the same time and therefore memory and subtle cognitive impairment may also occur. ...Read more

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What is longevity expectancy after severe frontal lobe hemorrhagic stroke?

What is longevity expectancy after severe frontal lobe hemorrhagic stroke?

Not positive: Unfortunately, 60% of all intracranial hemorrhage patients die within one year after the bleed, but 40% do survive. In this latter group, the main thrust to maintain stability involves very meticulous preventative care. ...Read more

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At what age do people get strokes and then a brain hemorrhage?

At what age do people get strokes and then a brain hemorrhage?

Any age: Stroke from interrupted blood flow (ischemic stroke) or bleeding (hemorrhagic stroke) can happen at any age. However, it is more frequent in older age groups, and in people with certain predisposing conditions, including clot-forming conditions, some heart conditions and blood vessel conditions. ...Read more

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Difference between "brain hemorrhage" and "brain attack/stroke"?

Difference between "brain hemorrhage" and "brain attack/stroke"?

A few: A brain attack or stroke maybe from lack of blood flow (ischemic) or a bleed (either clot/embolism or aneurysm) in the brain (intraparenchemal). Both results in death of brain tissue. Other sources of hemorrhage can be in the surrounding tissues such as subdural (around the brain) or subarachnoid (around brain or spinal cord). ...Read more

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My uncle had a stroke and is suffering from brain hemorrhage. The stroke affected his right side. Will he recover?

Likely will: In the first few days, the disability is certainly the worst, and over time, problems will improve somewhat, but not fully, unless very small area of damage. Rehab steps with physical therapy, occupational therapy and speech Rx, all may hasten his recovery. ...Read more

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What do you suggest if my uncle has got stroke and suffering from brain hemorrhage. This stroke affect his half body right side?

What do you suggest if my uncle has got stroke and suffering from brain hemorrhage. This stroke affect his half body right side?

Blood pressure: Hemorrhagic stroke is often caused by high blood pressure. Keeping the blood pressure healthy is very important for healing and preventing future damage.

If there are any other causes of bleeding (low platelets, abnormal blood vessels) they should also be addressed.

Triple therapy (physical, occupational and speech) is also very important for making a good recovery. ...Read more

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Can you tell me how the diagnosis would be made whether a stroke was caused by hemorrhage or other cerebral infraction (thrombus/embulus)?

CT or MRI: A Brain CT scan would show if there is a brain hemorrhage but it does not show other causes of stroke well soon after it occurs. A brain MRI is the best test to see stroke soon after it occurs and show if caused by blood spillage or lack of blood flow. It can also show how long ago a stroke happened (new vs. Old) ...Read more