10 doctors weighed in:

How could alcoholic liver disease have led to a brain bleed?

10 doctors weighed in
Dr. Jon Krook
Surgery
3 doctors agree

In brief: Thin blood

If your liver is really bad, the factors that help stop bleeding get low.
What would be minor trauma can turn into major trauma in those that are coagulopathic (thin blood) from either illness or acquired from certain medications. Head trauma is deadly in those who have dysfunctional clotting systems.

In brief: Thin blood

If your liver is really bad, the factors that help stop bleeding get low.
What would be minor trauma can turn into major trauma in those that are coagulopathic (thin blood) from either illness or acquired from certain medications. Head trauma is deadly in those who have dysfunctional clotting systems.
Dr. Jon Krook
Dr. Jon Krook
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Dr. John Fung
Surgery
1 doctor agrees

In brief: Also consider trauma

In addition for patients with advanced liver disease due to alcohol abuse to have clotting problems, alcoholism with repeated head traumas, such as falls, has also been associated as a risk factor for acute-on-chronic subdural hematomas (acute-on-chronic subdural hematoma: not uncommon events.
J korean neurosurg soc. 2011 dec;50(6):512-6).

In brief: Also consider trauma

In addition for patients with advanced liver disease due to alcohol abuse to have clotting problems, alcoholism with repeated head traumas, such as falls, has also been associated as a risk factor for acute-on-chronic subdural hematomas (acute-on-chronic subdural hematoma: not uncommon events.
J korean neurosurg soc. 2011 dec;50(6):512-6).
Dr. John Fung
Dr. John Fung
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Dr. Roger Frankel
Neurosurgery
1 doctor agrees

In brief: Clotting disorder

Alcoholic liver disease is associated with inadequate clotting factors in the blood.
If the blood cannot clot properly, bleeding episodes can be much more severe.

In brief: Clotting disorder

Alcoholic liver disease is associated with inadequate clotting factors in the blood.
If the blood cannot clot properly, bleeding episodes can be much more severe.
Dr. Roger Frankel
Dr. Roger Frankel
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Dr. Estrada Bernard
Neurosurgery

In brief: Impaired clotting

If liver disease is severe enough, it will affect the normal clotting function and lead to an increased risk of bleeding into the brain and other organs.
Other issues may be in play in the context of alcoholism. These would include nutritional status, hypertension and platelet (blood clotting cells) function.

In brief: Impaired clotting

If liver disease is severe enough, it will affect the normal clotting function and lead to an increased risk of bleeding into the brain and other organs.
Other issues may be in play in the context of alcoholism. These would include nutritional status, hypertension and platelet (blood clotting cells) function.
Dr. Estrada Bernard
Dr. Estrada Bernard
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Dr. Stuart Wasser
Addiction Medicine

In brief: Absolutely

If your liver disease is severe enough, you are more likely to bleed in multiple ways including into the brain.

In brief: Absolutely

If your liver disease is severe enough, you are more likely to bleed in multiple ways including into the brain.
Dr. Stuart Wasser
Dr. Stuart Wasser
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