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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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. ...Read more
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
Maybe: Brain hemorrhages have multiple causes but usually have a significant headache associated with them. There can also be neurological deficits like weakness or tingling. If you have any thoughts that a hemorrhage is possible, you should seek medical attention for evaluation immediately! ...Read more
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. ...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