What worsens the situation in people who have had a brain hemorrhage?

Sudden developing brain hemorrhages is one of our important problems. Bleeding usually occurs at night and leaves people in difficult situations in the emergency room. It is especially important to be aware of brain hemorrhage. In the diagnostic evaluation, the information obtained from the people around and the opinions of the first physician are important because they are usually unconscious. It is important to take his hands between his head because of a history of hypertension and severe headache before bleeding. The patient’s history of heart valve disease suggests inflammatory cerebral aneurysms. Bleeding into a brain tumor, cocaine use, vasculitis, and the presence of ischemic lesions are important. During the general physical examination, the level of consciousness and the level of strength in the arms and legs should be evaluated. Hypoxia, hypercarbia, hypotension worsen the clinic. The first
neuroradiological study is computerized brain tomography. Location of hematoma, presence of subarachnoid hemorrhage, calcification of tumor or vascular lesion indicate brain edema. Magnetic resonance imaging detects vascular malformations, tumors, and giant intracranial aneurysms. Cerebral angiography gives details. In general, if the patient is late, vascular problems in the brain, if the patient is old, tumor and hypertensive bleeding come to mind. Brain hemorrhages resulting from an accident in people using blood thinners are important. The unconscious use of blood thinners due to the bleeding reasons listed above adversely affects the result to be obtained from the brain hemorrhage picture. The use of a simple aspirin goes up to the fact that the bleeding cannot be stopped in the surgical intervention to be made and it causes the development of undesirable results. Treatment in hypertensive bleeding: In coma, intubation and artificial respiration are important. After the necessary supportive treatment with drugs, a tomography is taken for the definitive diagnosis. According to the information from the tomography
, surgical procedure can be life-saving in the case of pressure formation in the brain that will displace it.