Cerebral hemorrhage means bleeding into the brain due to the rupture of one of the arteries in the brain. When bleeding occurs, the brain, located inside the skull, which is an inflexible structure, remains under the pressure created by the fluid filling it, and is crushed, resulting in various symptoms.
Types of brain hemorrhage
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Epidural (between the skull and the dura, the outermost membrane of the brain)
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Subdural (between the dura and the brain)
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Subarachnoid (between the brain membranes)
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Intracerebral (into the brain tissue)
EPIDURAL HEMATOM: It is located on the brain called DURAMATER. There is a dice. The vessels on this membrane may cause bleeding due to damage caused by broken or cracked skull bones as a result of trauma. The resulting bleeding accumulates between the brain membrane dura mater and the skull bones and causes compression of the brain. If surgery is not performed, brain death occurs and the patient dies.
SUBDURAL HEMATOMA: In severe trauma, the vessels above the brain may be damaged. The blood leaking from these vessels accumulates under the dura mater (brain membrane), causing compression of the brain.
SUBARACHNOID (ANEURYSM/BUBBLE) BLEEDING. Additionally, bleeding may occur under the arachnoid membrane, which is a very thin membrane covering the brain. The cause of such bleeding is the bubbles called aneurysms in the vessels
INTRACEREBRAL HEMATOMA: These are bleedings into the brain tissue. It generally develops in patients with hypertension or due to sudden increases in blood pressure.
TREATMENT
The purpose of treatment is to save life, eliminate the symptoms, eliminate the cause of bleeding and prevent the development of undesirable situations. Coma treatment can be summarized as placing the patient in an appropriate position, keeping the airway open, providing life support, and placing a thin plastic tube in areas filled with fluid inside the head in order to reduce intracranial pressure. lir.
Surgical treatment is often needed. Through this craniotomy (OPEN), the skull is opened and the blood above or below the membrane or inside the brain is drained, depending on the type of bleeding.
In case of bubble (aneurysm) bleeding, a clip is placed on the aneurysm (open surgery) or a coil is placed inside the brain using one of the inguinal arteries. It is done through endovascular intervention by sending (spring). Which type of surgery will be determined after angiography. Surgical intervention may also be required to eliminate large amounts of bleeding into the brain.
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