Doctor insights on:
Hemorrhagic Conversion Of Stroke
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
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
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
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
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
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
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
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
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
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
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
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
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
During an amniocentesis procedure blood was drawn. Is it possible that cause a hemorrhagic stroke?
Is it possible to survive a hemorrhage stroke when the bleeding is already 5 centimeters & still bleeding?
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
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
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
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
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?
I had a hemorrhagic stroke last june two weeks ago the headaches have started back on topamax (topiramate) 200mg daily they're not helping could it be another 1?
CVA: You ought to go see your doc and get checked out. Headaches are very common but with your history you should not take a chance. ...Read more
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
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
My uncle had a stroke and is suffering from brain hemorrhage. The stroke affected his right side. Will he recover?
What do you suggest if my uncle has got stroke and suffering from brain hemorrhage. This stroke affect his half body right side?
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
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
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