Doctor insights on:
Small Bleed In Brain
Blood vessel study: Usually a small bleed in the brain by itself is not dangerous. The main concern is what caused the bleed. Sources can be trauma, aneurysm, avm, tumors, coagulopathies, infections, and inflammatory diseases. Usually a test to look at the blood vessels such as a ct angiogram and/or catheter angiogram are performed along with a series of blood tests to evaluate. Occasionally MRI as well.
MVA 5/2, had small brain bleed. Head sore to touch, severe constant headache, left eye muscle prob/dbl vision. How long before symptoms go away?
Following an accident to my head I suffered from small brain bleeding & edemata. I am feeling okay again but why is it necessary to have anotherCTdone?
AVM: A 2mm avm is an extremely small size avm and impressed they were able to find it on radiologic studies. An avm always has a risk of bleeding but if only 2mm in size this would be a low flow avm and the risks on the lower size. I would recommend followup in the future to make sure there is no growth in the avm as that would change the treatment.
How quick would symptoms of brain bleed show after fall, would it be very obvious? 4 days since son fell. Small bump/cranky. Bump gone. Am I in the clear? Fever today & stuffy. Any association?
Unclear: Is this a new bleed or change in the appearance of the old bleed? The answer to this is important. New bleeding made need to be addressed but an old bleed changing its composition as it ages is to be expected.
Can a baby have a small retinal hemorrhage and small bleed in the frontal lobe if the point of impact after fall from couch was the eyes and forehead?
Yes: A baby might get both a ret hemm a small red mark will go away, if there is a frontal lobe bleed there will be symptoms, in fact anywhere can be a bleed that's why u call a dr and they will tell u what to look for ie vomiting irritability lethargy etc in my practice I am amazed at se falls that babies take and are fine, that fontanelle sure helps them but any fall u think is bad just call ur dr.See 2 more doctor answers
Not always: No, it's not always sensed. That's why it is so dangerous. It can bleed and then when it reaches a critical point, it can lead to loss of consciousness or death. Any possible head injury should be checked out right away. Remember the oxi-clean advertisement guy? He hit his head on the overhead bin in a plane and thought nothing of it. Within 48 hrs, he was dead from a brain bleed.
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.
Depends on location: The location of the bleed may give you some hints as to the possible cause. Intracerebral bleeds tend to come from small weakening in the vessels inside the brain. Subarachnoid bleeds tend to come from aneurysms. Bleeds associated with a tangle of vessels may come from an arteriovenous malformation. There are also cavernous malformations which are sinusoidal dilations of vessels that can bleed.See 1 more doctor answer
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.
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.