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» Intracerebral hemorrhage - Diagnosis, Treatment
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Intracerebral hemorrhage - Diagnosis, Treatment
Intracerebral hemorrhage - Diagnosis, Treatment
Intracerebral hemorrhage in hypertension due to rupture of small penetrating arteries, and these hemorrhages almost always affect those parts of the brain (in descending order of frequency): the shell, thalamus, cerebellum, and the bridge. Any intracerebral hemorrhage usually develop acutely, the growth of continuous symptoms for a few minutes or hours.
The clinical picture depends on the localization of bleeding and is the appearance of paralysis and paresis on the opposite side of the body, speech and eye movement, vision, sensory disturbances (hypesthesia). Hemorrhage in the bridge - Department of the brain stem - marked the early development of coma. Hemorrhage in the cerebellum, characterized by a sudden dizziness and vomiting in conjunction with severe disorders of gait and posture stability.
Diagnosis of intracerebral hemorrhage
As in the diagnosis of ischemic stroke, the diagnosis of hemorrhagic strokes are applied are the same methods.
They are: Computed tomography - a method of choice in the diagnosis of hemorrhagic stroke. It allows not only to confirm the diagnosis, but also to determine the prevalence of lesions. Lumbar puncture. Usually in hemorrhagic stroke in the cerebrospinal fluid is almost always found blood.
Other diagnostic techniques - magnetic resonance imaging, duplex scanning and cerebral angiography.
Treatment of intracerebral hemorrhage
General measures for hemorrhagic strokes are the same as that of ischemic stroke. Suitable decongestants therapy as intracerebral hemorrhage may be accompanied by a pronounced swelling of the brain. When signs of epileptic activity are assigned anticonvulsants.
Surgical treatment of intracerebral hemorrhage
It involves the removal of the hematoma, if it is localized in an accessible area of the brain. This operation can save lives. Indications for surgery arise if the patient is not improving.
