Brain hemorrhage; It is the rupture of the vessels feeding the brain (rupture) and the pooling of the blood leaking out of the vessel in the area of the rupture. Cerebral hemorrhage can occur in only one vein, or it can occur in several veins at the same time. Cerebral hemorrhage may develop as a result of trauma or spontaneously. Since the area fed by the ruptured vein cannot be fed after the rupture, the area where the blood is pooled may also be damaged due to the pressure caused by the pooling, and may even become completely inoperable. There are various causes that can lead to bleeding, and the risk to life due to bleeding depends on the cause of bleeding, the location and amount of bleeding.
1-Trauma: it is a blow to the head. Cerebral hemorrhages that develop depending on the place of impact and the damage to the head (such as bone fracture, brain tissue damage, vascular injury) can be of various types and areas.
2-Hypertension: As a result of increased blood pressure, bleeding into the brain tissue or between the membranes surrounding the brain may occur.
3-Due to vascular disease: Cerebral hemorrhages, which occur in conditions that cause weakening of the vessel wall, such as aneurysm, usually occur between the membranes surrounding the brain.
4-It may occur as a result of congestion in the small veins of the brain or the main veins of the brain.
5-Bleeding may develop in brain tissue damaged due to insufficient blood flow or other reasons.
6-In some brain tumors, intratumoral hemorrhages may occur.
7-Brain hemorrhage can also be seen in some blood diseases, as in other organs of the body.
Brain hemorrhages are named according to their location;
Epidural hemorrhage (between the skull and the meninges)
Subdural hemorrhage (between the thick membrane of the brain and the spider membrane on the brain tissue)
Subarachnoid hemorrhage (between the brain cavities)
Intracerebral hemorrhage (into the brain tissue)
All kinds of cerebral hemorrhage cause various symptoms in the patient depending on the location of the hemorrhage. Headache, nausea-vomiting, loss of strength and paralysis, speech disorder, visual impairment, balance disorder, and even loss of consciousness are the most prominent symptoms.
Since cerebral hemorrhage is an emergency and risky that can lead to death or paralysis in a short time, it can create situations that require very urgent surgery. However, this does not mean that every cerebral hemorrhage must be operated immediately. The treatment time and method is decided by the physician according to the location, amount, cause of the bleeding and the general condition of the patient.
