What is a hemorrhagic stroke?
Stroke caused by a ruptured blood vessel in or on the surface of the brain with bleeding into the surrounding tissue
What are components of the initial assessment done by doctors to look for a possible hemorrhagic stroke?
Obvious stroke symptoms, altered mental status, coordination and balance
What are 3 signs of a possible hemorrhagic stroke you may see in the prehospital setting?
sudden severe headache
vision changes
loss of balance or coordination
becoming unable to move
numbness in an arm or leg
seizures
loss of speech or difficulty understanding speech
confusion or loss of alertness
nausea and vomiting
loss of consciousness
paralysis or numbness in any part of the body
inability to look at bright light
stiffness or pain in the neck area
hand tremors
frequent fluctuation in the heartbeat and breathing
difficulty swallowing
What is the short term treatment of a hemorrhagic stroke?
decompression
What does a hemorrhagic stroke do?
interrupts the blood flow to the brain
What percentage is hemorrhagic strokes of strokes overall?
13%
What are the 2 types of scans preformed to look for possible bleeding on or in the brain?
MRI or CT scan
Hemorrhagic strokes can cause temproary or permanent disability depending on what?
how long blood flow to the brain was interrupted
Burr hole procedure
Craniectomy incision
Craniotomy
Bleeding in the brain can prevent nerve cells from what?
communicating with other parts of the body
What are the 2 types of weakened blood vessels that can cause hemorrhagic strokes?
Other complications may include:
At least 3Blood clots
Difficulty swallowing or talking
Pneumonia
Loss of bladder control
Memory loss or thinking difficulties
Pain
Emotional problems
Brain swelling
Seizures
Depression
If caused by a ruptured aneurysm, it may require what during a craniotomy?
clipping of the aneurysm
What does lack of blood flow to the brain cause?
loss of memory, speech or movement
What is the most common type of hemorrhagic stroke?
Intracerebral hemorrhage
Where is a subarachnoid hemorrhage located?
between the brain and the outer covering of the brain or the subarachnoid space
What can long term treatments help with?
Regaining day to day functions and prevention of future hemorrhagic strokes
At least 3 long term effects
Paralysis
Numbness or weakness in part of the body
Difficulty swallowing
Vision loss
Inability to speak or understand words (difficulty with communicating or comprehension)
Confusion, memory loss, or poor judgment
Personality change and/or emotional problems
What type of hemorrhagic stroke can be caused by AVMs, head trauma, bleeding disorders or blood thinners?
Subarachnoid Hemorrhage
Patients in better health, who have less severe hemorrhagic strokes have the possibility to do what to have a better outcome?
Rehab therapy
Where is a intracerebral hemorrhage located?
inside the brain
What are the 4 long term treatment options?
physical therapy
occupational therapy
lifestyle changes
speech/communication therapy
What does hemorrhagic strokes deprive the brain of which can cause the long term effects?
oxygen