Sudden Death Warning Due To Brain Hemorrhage

Brain bleeding (or brain hemorrhage) accounts for 40% of strokes. Particularly for Japan and Vietnam, the brain hemorrhage exceeded 50% of stroke. That's not to say the most serious cerebral hemorrhage in a stroke due to double death.
Risk factor
The onset of illness is very sudden and intense, possibly right after psychological and physical exertion or at work, normal activities but suddenly collapses, coma, hemiplegia; even the disease is triggered right away during sleep or when waking up.
Risk factors for a stroke are often numerous, probably due to lifestyle changes or medication, but the main cause is still due to hypertension (accounting for 50-60%)

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In young people, strokes are usually caused by cerebral vascular malformations (50% of cases have malformed cerebral angiography).
In addition, the cause of smoking, high blood cholesterol, alcoholism, obesity, inactivity, women abusing birth control pills . .




Brain bleeding is more common in men than in women.
The average age for brain hemorrhage is 55.
It should be emphasized that even a slight rise in blood pressure without adequate treatment increases the risk of brain bleeding.
People with hypertension are at a higher risk for brain bleeding
Classification of cerebral hemorrhages
Clinically common 2 types:
Parenchymal bleeding;
Bleeding under the arachnoid.
Differentiate between parenchymal bleeding and subarachnoid bleeding
Parenchymal bleeding
Common in the age of 45 - 50 years old.
Signs of starting are a lot of headache, sudden pain or occurs during the day after a physical, mental exertion.
Patients presenting with the disorder of consciousness, usually rapidly declining consciousness until coma Headache is normal but 70-80% of patients have vomiting.



Irregular breathing, snoring, rapid pulse, increased blood pressure. On X-ray, ultrasound shows the dilated heart.
Bleeding under the arachnoid
Common in the age of 20 - 40 years old.
The beginning sign is a transient headache; often suddenly accompanied by a sensation of a blow in the head, showing a change of consciousness. Headaches are usually not severe, there may be vomiting (less than 50%). Patients with cheynstokes-style breathing, sometimes as fast as 100 times / minute. Hear the heart do not see anything special. Blood pressure may or may not be measured.




CT-scan film of a case of cerebral hemorrhage
Signs identify brain bleeding
Happenings inside
When a cerebral artery rupture occurs, the arterial blood is strongly pushed into the surrounding brain tissue (organization), the hemorrhagic wall is usually greater than 1.5 cm in the brain stem and more than 3 cm in the cerebrum. Blood clots become clots.
When there is a hematoma, it will cause harmful effects such as filling and pinching the surrounding brain area causing necrosis or ischemia of brain tissue, possibly some serious brain nuclei; development of edema state in brain tissue; continue to occupy and displace empty, easily-accessible areas that can reach as far as the base of the IV ventricle, with many centers of vital functions for life.
The clinical (clinical) manifestation of cerebral hemorrhage is a stroke:
Going or doing something suddenly had a severe headache, often hugging my head, limping and falling to one side;
Naturally speaking it is difficult to go away or ban the password;
Both an arm and a leg of the same side are naturally weaker then progressively more or more severely paralyzed (impulsive bust);
Accompanied by hemiplegia, strenuous, enuresis, incontinence, increased sputum and sweat production (paralysis), irregular breathing, cardiac arrhythmia and blood pressure, fever;
Perceptions remain or confusion (unconscious personnel) at 50%, or deep coma at 25%, or alternating awake at anesthesia at 25%. The illness lasts.
And if recovered quickly or completely, it is not a cerebral hemorrhage but only a crown of cerebral vessels - a transient ischemic syndrome.
Severe headache, limbs and mouth, forbidden to speak are noticeable signs of brain hemorrhage.




Severe complication of brain hemorrhage
Mild illness often has consciousness disorders, confusion ...
If severe illness bleeds into the brain a lot, patients comatose, breathing disorders, cardiac arrhythmias, most of them die within 48 hours.
Patients who survived severe cerebral haemorrhage often suffer from severe sequelae, many of whom live in a vegetative state and will die from superinfection or exhaustion.
There are many different types of bleeding, the most dangerous is the deep hemisphere of the brain, medicine called ventricular flood.
Outward manifestations are deep coma, with general spasticity, seizures, sometimes with "black substance vomiting" and fever. If detected late and not given timely, the death rate is very high (81%).




Brain hemorrhage tends to recur strongly. Therefore, it is necessary to monitor closely to prevent hypertension attacks..

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