Munson Health
 
Hemorrhagic Stroke

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by Jones P
 

Diagnosis

Detailed images of blood vessels will help identify the cause of the bleeding. Images may be taken with one or more of the following tests:
Blood tests can also help identify clotting problems in the blood. Your doctor may also examine the fluid that surrounds your brain and spine.
 

Treatment

Immediate treatment is needed to stop the bleeding and relieve pressure on the brain.

Medication

If you were taking medications that reduce your blood’s ability to clot you will be given medication to help your blood clot again. This may also include vitamin K.
You may also be given medication to help:
  • Decrease pressure in your brain
  • Prevent seizures
  • Lower blood pressure

Surgery

Surgery may be done to help stop the bleeding. Some surgeries can be done by passing catheters from blood vessels in the groin to the affected vessels in the brain.
Options will depend on the cause and location of the bleeding:
  • For a burst aneurysm—A clip may be placed just before the damaged vessel to stop bleeding.
  • For a leaking or intact aneurysm—A special coil may be placed in the aneurysm. The coil will help a clot form in the aneurysm to prevent bleeding. A clip, as used in burst aneurysms, may be placed instead of a coil.
  • For an abnormal tangle of blood vessels—Surgery may be done to repair the blood vessels. This may include removing the tangles or rerouting the blood around this tangle.
A stroke can cause swelling in the brain. A surgery, such as craniotomy, may be needed to relieve the pressure in the brain to prevent further damage.
 

Prevention

Management and monitoring of medical conditions like aneurysms and high blood pressure can prevent complications like stroke.
Other habits that may reduce your risk of stroke include:
 

RESOURCES

American Heart Association
http://www.heart.org

National Stroke Association
http://www.stroke.org

 

CANADIAN RESOURCES

Heart and Stroke Foundation of Canada
http://www.heartandstroke.ca

Public Health Agency of Canada
http://www.publichealth.gc.ca

 

References


Hemorrhagic stroke. American Heart Association American Stroke Association website. Available at: http://www.strokeassociation.org/STROKEORG/AboutStroke/TypesofStroke/HemorrhagicBleeds/Hemorrhagic-Strokes-Bleeds%5FUCM%5F310940%5FArticle.jsp. Accessed June 6, 2013.


Hemorrhagic Stroke. The Children’s Hospital of Philadelphia website. Available at: http://www.chop.edu/service/pediatric-stroke-program/about-pediatric-stroke/hemorrhagic-stroke.html. Accessed June 7, 2013.


Hemorrhagic stroke. National Stroke Association. Available at: http://www.stroke.org/site/PageServer?pagename=HEMSTROKE. Accessed June 10, 2013.


Intracerebral hemorrhage. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated March 21, 2013. Accessed June 6, 2013.


Stroke (acute management). EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated May 2, 2013. Accessed June 6, 2013.


Stroke treatments. American Heart Association American Stroke Association website. Available at: http://www.strokeassociation.org/STROKEORG/AboutStroke/Treatment/Stroke-Treatments%5FUCM%5F310892%5FArticle.jsp. Update May 23, 2103. Accessed June 7, 2013.


Subarachnoid hemorrhage. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated January 22, 2013. Accessed June 6, 2013.

 

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