Microbleeding due to rupture of brain vessels: Recognizing signs



Microbleeding due to cerebral vascular rupture has a high mortality rate. Early recognition and treatment can help prevent hematoma size from increasing and reduce dangerous complications of the disease.

1- What is a Microbleeding?

Microbleeding is a type of stroke that occurs when blood spills into brain tissue and causes brain damage.  When blood from the injury irritates brain tissue, it causes cerebral edema, where the blood collects in a mass called a hematoma.  This condition increases pressure on surrounding tissues, eventually killing brain cells and bursting brain vessels.

 Patients with severe Microbleeding have a high mortality rate, the prognosis depends mainly on the size of the hematoma in the brain.  The larger the size, the higher the patient's risk of death and disability.  Usually, treatment is only aimed at keeping the hematoma from increasing in size and reducing complications.  A small number of patients with Microbleeding are reversible and able to walk, and the majority of patients are permanently disabled.

2- Causes of Microbleeding

- Cerebral vascular malformation is the main cause of Microbleeding.  This is a congenital disease and can only be diagnosed when there are symptoms.

- People with head injuries or excessive physical activity, too much stress.

- People with high blood pressure often weaken the walls of blood vessels, if not treated, it will cause Microbleeding.

- Aneurysms, caused by weakened blood vessel walls, can burst and bleed into the brain, leading to a stroke.

- People with amyloid angiopathy, this condition can cause subtle Microbleeding before causing major bleeding.

- People with blood clotting disorders

- People with liver disease, brain tumor

- People with a history of obesity, sedentary lifestyle, high blood cholesterol.

- People who work in hot weather suffer from heat stroke.

Microbleeding due to rupture of brain vessels: Recognizing signs

How to control Microbleeding disease? / ph: pexels

3. Complications of Microbleeding

After Microbleeding, up to 92% of people have motor complications, 68% have moderate and mild sequelae and 27% have severe complications.  The most common hemorrhagic complications include:

- Hemiplegia:

According to statistics of medical experts, more than 90% of people with Microbleeding suffer from this complication after recovery.  This is the most severe type of Microbleeding sequelae, making the patient unable to take the initiative in his life, making it difficult to walk, difficult to move the weight.

- Psychological disorders:

Patients often have psychological disorders because they have just experienced a great mental shock, always feel lonely, sad, and useless when they find themselves sick lying in one place, having to depend on their loved ones take care of.

- Language disorders:

Patients with Microbleeding will have a distorted mouth, not as clear as when healthy, some sounds cannot be heard or the last vowel is lost.  In severe cases, the patient's language ability is only babbling like a child learning to speak.

- Cognitive disturbances:

Like memory loss, lethargy, confusion, lethargy, inability to remember what happened over a period of time.

- Swallowing disorders:

People with Microbleeding when swallowing easily choke, have difficulty swallowing, cannot chew...

- Respiratory disorders:

Patients easily lead to respiratory failure, tongue drop, choking sputum ... causing pneumonia.

- Urinary incontinence:

This is the most common complication for patients with Microbleeding, causing the patient to experience many inconveniences in life, irritability, fatigue and frustration.

In addition to the complications of Microbleeding, the patient also faces the risk of recurrence of the disease, causing many other consequences and the cost of treatment is many times higher.

4. Identification signs of Microbleeding

The onset of Microbleeding is very sudden and intense, it can be right after psychological and physical exertion or during normal work and activities, even when the disease breaks out in sleep or just after a short period of wake up.  Some signs of the disease are as follows:

- Sudden severe headache, weakness in limbs and falling to one side or paralysis of an arm or leg.

- Can't speak, can't speak clearly, the face is distorted, the mouth is also distorted.

- Body sweating, urinary incontinence, irregular breathing, irregular heartbeat and blood pressure, fever.

- Swallowing disorders such as difficulty swallowing, easy swallowing, choking, not chewing.

- Memory declines rapidly, forgetfulness or completely forgets things quickly...

As soon as the above signs are detected, it is necessary to quickly bring the patient to the hospital for support because the person with Microbleeding should be given emergency treatment within 3-4 hours after the onset of the disease to reduce the severity of the disease  risk and limit complications from the disease.

5. Methods of diagnosis and treatment of Microbleeding

- Diagnostic method

In addition to clinical manifestations of Microbleeding, doctors will give patients a CT scan of the brain or a brain MRI.  These two methods are essential to confirm the diagnosis of Microbleeding and rule out ischemic stroke... CT and MRI are both considered as first-line imaging options in acute assessment and diagnosis.  save Microbleeding.  However, CT should be performed in patients with contraindications to MRI.

- Treatment of Microbleeding

Treatment for a Microbleeding in brain depends on the location, cause, and extent of the bleeding.  Your doctor may perform surgery to reduce swelling and prevent bleeding.  Depending on the location of the blood clot, your doctor will perform a craniotomy or radio-guided aspiration.  Certain medications may also be prescribed, including pain relievers, corticosteroids or diuretics to reduce edema, and anticonvulsants to control seizures.

 Patients will need long-term treatment to overcome symptoms caused by Microbleeding.  Depending on the symptoms, treatment may include physical therapy, speech therapy, and other therapies.

6- How to control Microbleeding disease?

Brain Microbleeding is a very dangerous disease, leaving many complications, to control the disease you should:

-  Treat high blood pressure through diet, exercise, and medication prescribed by your doctor.

- Say no to alcohol, tobacco, and substances like cocaine that can increase the risk of brain hemorrhage.

- Control diabetes, liver disease, heart disease, ...

- Build a healthy lifestyle.

- Go for regular check-ups at least every 6 months to know your health status.

Microbleeding due to rupture of brain vessels: Recognizing signs

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