Skip to content
Home » cerebral hemorrhage
Tag:

cerebral hemorrhage

Health

Hemorrhagic Stroke: Don’t Ignore the Headache | News

by DrMichaelLee
written by DrMichaelLee

“`html


Post-Hemorrhagic Stroke Headaches: A Neglected Aspect of Recovery

Table of Contents

MINNEAPOLIS-New research reveals that nearly half of hemorrhagic stroke patients experience headaches, with over a third reporting severe pain, highlighting a critical yet often neglected area of post-stroke care. Despite the prevalence of post-stroke headaches, notably following hemorrhagic stroke, management strategies remain underdeveloped, according to Bradley Ong, MD, a neurology resident at the Cleveland Clinic, who presented the findings at the American Headache Society (AHS) Annual Meeting 2025.

The Overlooked Reality of Post-Stroke Headaches

While stroke research heavily focuses on immediate interventions like stopping bleeding and reducing disability, the long-term impact of post-stroke headaches remains understudied. A systematic review and meta-analysis, encompassing 24 studies through December 2024, sought to bridge this knowledge gap. The analysis, which included data from 4,671 hemorrhagic stroke patients, revealed that 47% developed headaches, with 56% experiencing acute or subacute headaches within 30 days and 39% developing chronic headaches lasting over three months.

Did You Know? Post-stroke headaches can persist for months or even years after the initial stroke event.

Types and Severity of Post-Stroke Headaches

The study further distinguished between headache types based on the nature of the hemorrhagic stroke. Patients who experienced a subarachnoid hemorrhage (SAH) frequently enough reported migraine-like headaches, while those with intracerebral hemorrhage (ICH) typically described tension-type headaches, ranging from moderate to severe.Notably, nearly 38% of patients with post-stroke headaches progressed to the chronic phase, underscoring the need for long-term management strategies.

headache Type Stroke Type Prevalence
Acute/Subacute (within 30 days) Hemorrhagic Stroke 56%
Chronic (over 3 months) Hemorrhagic Stroke 39%
migrainous Subarachnoid Hemorrhage (SAH) Most Common
Tension-Type Intracerebral Hemorrhage (ICH) Most Common

Factors Influencing Post-Stroke Headache Risk

Several factors can influence the likelihood of developing post-stroke headaches. According to the research, males had lower odds of developing headaches (pooled odds ratio [OR], 0.82; 95% CI, 0.68-0.99), while a prior history of headaches significantly increased the risk (pooled OR, 4.83; 95% CI, 2.10-11.10). These findings emphasize the importance of considering individual patient history when assessing and managing post-stroke headache risk.

The need for Improved Clinical Guidance and Research

Experts emphasize the urgent need for more prospective studies to better understand and address post-stroke headaches. Dr. Ong notes that common over-the-counter medications like nonsteroidal anti-inflammatory drugs (NSAIDs) are often unsuitable for patients who have experienced a brain bleed, further complicating treatment.Robert G.Kaniecki, MD, founder and director of the UPMC Headache Center in Pittsburgh, also highlighted the study’s strengths in focusing specifically on hemorrhagic stroke patients, noting that previous research frequently enough combined hemorrhagic and ischemic stroke cases.

Pro Tip: Clinicians should proactively include headache treatment as an integral part of stroke rehabilitation programs.

The lack of standardized definitions for post-stroke headache also poses a challenge to research and treatment efforts. More consistent data from diverse populations are needed to gain a complete understanding of the condition and develop effective treatments. Furthermore, understanding the relationship between post-stroke depression and headache progress warrants further inquiry, as headache is a frequent symptom reported by patients with depression.

Addressing the Knowledge Gap in Post-Stroke Headache Management

The findings underscore the necessity for increased awareness and improved management of post-stroke headaches, particularly following hemorrhagic stroke. By recognizing the prevalence, characteristics, and risk factors associated with these headaches, clinicians can provide more comprehensive and effective care to stroke survivors. Further research and the development of standardized treatment guidelines are crucial steps toward addressing this often-overlooked aspect of stroke recovery.

Persistent headache after stroke is a common issue, with up to 23% of patients affected [1]. These headaches frequently enough have tension-type features and can be more frequent and severe than acute stroke-related headaches.

Why do you think post-stroke headaches are often overlooked in clinical settings? what strategies can be implemented to prioritize headache management in stroke rehabilitation?

Understanding Stroke and Headache

A stroke occurs when blood supply to the brain is interrupted, leading to brain cell damage.There are two main types of stroke: ischemic (caused by a blood clot) and hemorrhagic (caused by bleeding in the brain). Headaches can occur as a symptom of the stroke itself or develop as a post-stroke complication. The mechanisms behind post-stroke headaches are not fully understood, but they may involve changes in brain structure, inflammation, or nerve damage.

The Broader Context of Headache disorders

Headache disorders are a significant public health concern, affecting millions of people worldwide. Migraine and tension-type headaches are the most common types, but headaches can also be caused by a variety of other factors, including stress, dehydration, and certain medical conditions. Understanding the different types of headaches and their potential causes is essential for effective diagnosis and treatment.

Frequently Asked Questions About Post-Stroke Headaches

What is a post-stroke headache?

0 comments
0 FacebookTwitterPinterestThreadsBlueskyEmail
Health

Early, Aggressive BP Lowering Tied to Better ICH Outcomes

by DrMichaelLee
written by DrMichaelLee

Aggressive Blood Pressure Control Improves Stroke Outcomes

Early Intervention is Key for Better Recovery and Reduced Risks

New research reveals that swiftly lowering blood pressure after an intracerebral hemorrhage (ICH) can significantly improve patient outcomes, potentially saving lives. Prompt treatment, especially within the first few hours, leads to better neurological function, fewer adverse events, and reduced mortality rates for those suffering from this type of stroke.

Early Treatment Yields Stronger Results

A pooled analysis of four Intensive BP Reduction in Acute Cerebral Hemorrhage Trials (INTERACT1-4) has confirmed the benefits of early, intensive blood pressure management for individuals experiencing ICH. The most positive results were found when the intervention was administered within three hours of the onset of ICH symptoms. Current guidelines suggest a systolic BP target of less than 180 mm Hg within one hour of symptom onset, whereas the intensive treatment approach aims for less than 140 mm Hg within the same timeframe.

The studies involved over 10,000 adults with acute ICH. Participants were randomly assigned to receive either intensive or guideline-recommended BP-lowering treatment within an hour of symptom onset. The primary outcome measure was functional recovery, determined using the modified Rankin scale. The intensive treatment group showed significantly lower mean systolic BP rates at one hour compared to the guideline group, 149.6 mm Hg versus 158.8 mm Hg, respectively.

“The data presented make a compelling case for ultra-early intensive blood pressure reduction as a potentially useful intervention to improve outcomes in people with acute ICH.”

—David J. Werring, PhD, Department of Translational Neuroscience and Stroke, University College London Queen Square Institute of Neurology, London

Those receiving intensive treatment also experienced reduced odds of neurological deterioration within seven days, along with fewer serious adverse events and deaths. According to the American Stroke Association, stroke is a leading cause of death in the United States, with nearly 800,000 strokes occurring annually (American Stroke Association).

Timing and Impact on Hematoma Growth

Investigators also assessed the impact of treatment timing and its effect on hematoma volume. Results from a CT substudy of almost 3000 participants revealed no significant effect on either relative or absolute hematoma growth in the initial 24 hours between intensive and guideline treatment approaches. However, when intensive BP lowering began within three hours of symptom onset, functional recovery improved, and hematoma growth was reduced in almost a quarter of patients.

Expert Insights

In an accompanying editorial, David J. Werring noted the importance of considering the specific pathophysiology of ICH, where hematoma expansion plays a major role in the first few hours. He suggested that intensive BP lowering could be a useful intervention to improve outcomes for individuals with acute ICH, emphasizing the need for further research.

The analysis was funded by a multitude of organizations worldwide, and the investigators disclosed various financial relationships. Despite the limitations of the study, the results underscore the critical importance of early intervention in managing ICH. More research is warranted, but the current findings strongly support the idea that, as Werring concluded, “time is brain” for those with ICH.

0 comments
0 FacebookTwitterPinterestThreadsBlueskyEmail
Health

“Cerebral Hemorrhage”: In 2014, 20.77% of Thai people died, young people of working age were also born.

by Ethan Caldwell
written by Ethan Caldwell

In 2024, the death rate from cerebral hemorrhage is as high as 20.77%.

  • According to the report of the Ministry of Public Health in 2023, it was found that there was a high death rate from the disease.Cerebral hemorrhage 21.13% and in 2024, data has not yet been collected for the entire year, the number is as high as 20.77%.
  • Cerebral hemorrhageEven at a young age, working age can occur. Not only in the elderly But the reasons can vary according to age.
  • Cerebral hemorrhageIn young people, causes, symptoms, treatment, prevention, and symptoms of a stroke that needs to be taken to the hospital. Treat quickly and reduce disability and death.

Cerebral Hemorrhage Many people may think that this only happens in the elderly. But it can happen in any age group. But there can be different reasons depending on age.

With cerebrovascular disease or stroke (stroke), although most may occur in the elderly. But it can be found in up to 15% of people under 50 years of age. If it is found in patients under 40 years of age, it is classified as a stroke in a young person or a stroke in the young.

A stroke It is a condition where there is no blood supply to the brain due to cerebral artery stenosis, blockage, or a broken blood vessel. As a result of the destruction of brain tissue. Causes some or all of the brain to function abnormally. Symptoms usually come on suddenly. Which happens more often in people who are older.
According to the report of the Ministry of Public Health in 2023, the death rate from hemorrhagic stroke was found to be 21.13%, and in 2024, when data was not yet collected for the whole year, it was found to be the number as high as. 20.77%.

Causes of cerebral hemorrhage: young age, working age

Dr. Amporn Benjaphonpitak Director General of the Department of Medical Services said that the patients were young and the causes that were found were often caused by aortic aneurysms. or abnormal blood vessels In this group of patients, there are usually no abnormal symptoms until the problem of broken blood vessels occurs. So there are neurological symptoms.

In addition, patients with long-term uncontrolled high blood pressure cause the walls of the blood vessel to erode, tear, and eventually cause the blood vessel in the brain to rupture. breaking causes bleeding in the brain It can cause paralysis, paralysis or death.

Brain hemorrhage symptoms

Cerebral hemorrhage symptoms: Said Asst. like never before
Along with symptoms of neurological disorders such as abnormal consciousness, slurred speech, weakness in one side of the limbs.
Neurological symptoms depend on the location of the bleeding. And if there is blood in the cerebellum, the patient may be stopped, have difficulty balancing, and may not speak clearly, which may resemble a drunken person. . Because of this part of the brain It serves to control the smooth movement of different parts of the body.
When the patient has these symptoms The patient should be transported to the nearest hospital immediately. to receive emergency diagnosis and treatment

Related content

Treatment of cerebral hemorrhage

Dr. Tasanee Tantiritthasak Deputy Medical Director Acting Director of the Institute of Neurology said that there are guidelines for diagnosis and treatment The doctor will take a history, perform a physical examination and send for brain x-rays. To confirm the presence of brain hemorrhage and the condition of the abnormality to plan the treatment The death rate in patients with intracerebral hemorrhage is very high.

If the patient can get to the hospital quickly Get a diagnosis and treatment quickly. It can reduce disability and death.
Treatment depends on the location and amount of bleeding. If there is some bleeding Supportive treatment can be given and blood pressure can be controlled at an appropriate level. But if the level of bleeding is high It may be necessary to have surgery to drain the blood. and reduce intracranial pressure

If the cause of the bleeding is due to abnormal blood vessels or an aortic aneurysm the doctor will consider catheterization treatment to close the abnormal blood vessel passage. or it may need to be treated with a combination of different methods

“Prevention of cerebral hemorrhage is more important for patients with high blood pressure. Blood pressure should be monitored, treated, and controlled to a good degree at all times. To reduce the risk of brain hemorrhage. And when you have symptoms that make you suspect you’re having a stroke, such as difficulty speaking, your mouth drooping, weakness in your arms and legs, or stopping suddenly, go to the hospital as soon as possible. as possible. Because I know the symptoms Go to the hospital quickly. The chance of survival and being free from paralysis will be higher,” said Dr. Tasanee.

However, Rama 9 Hospital has identified factors that cause stroke in young people as factors that cause fat to clog and damage blood vessels. which can cause stroke in all age groups. in the younger age group that cannot control such a congenital disease Fat restriction may cause. and they are at risk of having a stroke

2024-08-07 20:22:23

#Cerebral #Hemorrhage #Thai #people #died #young #people #working #age #born

0 comments
0 FacebookTwitterPinterestThreadsBlueskyEmail
Fact Check: No Link Between Migraine and Cerebral Hemorrhage Risk, Neurology Institute Confirms
Health

Fact Check: No Link Between Migraine and Cerebral Hemorrhage Risk, Neurology Institute Confirms

by Ethan Caldwell
written by Ethan Caldwell

According to information about the matterI have a migraine. The risk of cerebral hemorrhage is 46% higher than normal people. The Anti-Fake News Center has conducted fact-checking by the Neurology Institute, Department of Medical Services, Ministry of Public Health. It was found that such issues is false information

In the case where someone posts and shares information on online media that a person isMigraine The risk of cerebral hemorrhage is 46% higher than normal people, according to the Neurology Institute, Department of Medical Services, Ministry of Public Health. Has checked the information and clarified that The content of the said message is not true. Because there is no current medical information to tell aboutMigrainethat it is related to the risk of hemorrhagic stroke as claimed

Therefore, people should not be misled. and ask for cooperation not to send or share such information on various social media channels and for the public to receive information from the Neurology Institute, Department of Medical Services, Ministry of Public Health. Can be tracked at the website www.pni.go.th or call 02-306-9899

The conclusion of this story is: The content of the said message is not true. This is because there is no current medical information suggesting that migraine is associated with a higher risk of hemorrhagic stroke.

2024-04-12 06:30:06

#Migraine #increases #risk #cerebral #hemorrhage

0 comments
0 FacebookTwitterPinterestThreadsBlueskyEmail
Health

Dry hematoma in the brain is common in the elderly and may have gradual symptoms, resembling epileptic seizures. Heat can cause protein water to expand or shrink, but treatment must be assessed on a case-by-case basis. Symptoms may occur gradually and repeated hemorrhages create risk. Acute bleeding may occur due to severe impact or arterial rupture. Medical evaluation is necessary.

by Ethan Caldwell
written by Ethan Caldwell

Doctor Chulalongkorn reveals that the condition of “dry hematoma in the brain” is common in the elderly. The symptoms may be gradual, without being aware of it, but if it is severe, it may resemble epileptic seizures. The heat may cause the water in the protein to expand or shrink. or the heat may cause the patient to lose consciousness must be considered on a case-by-case basis

What is a dry hematoma in the brain?

on April 10 Prof. Dr. Teerawat Hemajutha Professor of Neurology Department of Internal Medicine Faculty of Medicine Chulalongkorn University talks about dry hematoma in the brain that for symptoms of dry hematoma in the brain can occur in general, there are incidences both domestically and internationally Mostly found in the group of senators or the elderly because when they get older blood vessels in the skull may deteriorate When the brain is hit Even if it’s not hit hard It causes the veins that are stretched to leak blood to the surface of the brain under the cerebral cortex. and with a vein low blood pressure The blood will slowly seep out and will stop flowing on its own. It takes about 1-2 months for the blood to disappear. It then remains a thick protein juice that sometimes expands. By that time, the patient may not have any symptoms at all, so he is unaware that there is protein fluid under the cerebral cortex. But in the event that the expansion is very large, it can cause symptoms such as headaches, some have symptoms similar to epilepsy.

However, to check if there is a clot of protein in the brain or not. must use a brain computer to check The need for perforation therapy must then be assessed. which must be looked at case by case, some cases that do not affect the functioning of the brain because the brain can adapt There is no need to drill out.

Heat affects the Dried blood clot in the brain?

“The bleeding is not actually in the brain. but piled up on the surface of the brain As for the heat, it can play a part in causing the protein water to expand or shrink. or the heat may cause the patient to lose consciousness Then, upon examination, it may be found that there is protein in the cortex. which must be carefully looked at what happened before or after And is it necessary to drill out? must be looked at case by case,” Prof. Dr. Teerawat said.

When asked if the symptoms occurred Seems to be gradual, gradual, how to notice? Prof. Dr. Teerawat said the symptoms were not acute. But must see if there is repeated hemorrhage in the brain surface or not because it will make the protein water expand faster which if the brain can’t adapt It caused a complaint to come up. As for being careful of the elderly not to cause risks, it is difficult to do. Because even if you fall and put your body down can be disturbed to the veins in the brain causing the blood to leak out as well Including some people when they are old Will begin to take anticoagulant drugs, so when the blood seeps out causing the blood to flow non-stop The more the blood comes out on the surface of the brain. Whether it’s the heart or the brain to prevent that ton. There must be an indication and under the evaluation of a physician.

Prof. Dr. Theerawat said that for the hemorrhage in the brain. There are both gradual symptoms as mentioned above and the other is acute bleeding. due to severe impact such as falling or being hit on the head which makes the patient forget the events that happened The location that was hit If the temple The skull is thin and has arteries. It causes the arteries to break out, which is the case with the veins, so the symptoms of arterial rupture will occur faster. And during the first shock, there may be no abnormalities in the brain computer. Because red blood will gradually seep and come out faster in the later stages Therefore, symptoms must be seen at the hospital for at least 24 hours.

* can press follow and share news from Hfocus news agency at

0 comments
0 FacebookTwitterPinterestThreadsBlueskyEmail
Entertainment

Japanese actor Noiri Toshiki dies of brain hemorrhage after falling down stairs aged 33

by Ethan Caldwell
written by Ethan Caldwell

Japanese actor Noiri Toshiki (33) died after a fall.

According to Japanese media such as Sports Hochi, Noiri Toshiki died of a brain hemorrhage in a Tokyo hospital on the morning of the 2nd.

Noiri Toshiki reportedly tripped and fell on the stairs of a restaurant in Tokyo on December 29 last year. He injured his head in the process. He was taken to the hospital and treated in an intensive care unit, but eventually passed away. The cause of death would have been a cerebral hemorrhage.

Noiri Toshiki is a young actor born in 1989 and this year he turns 33. He is also known as the nephew of the late Japanese actor Harue Akagi. Recently, she appeared in the NHK BS historical drama “Moongabi Grass Nana’s Sword”, the Tokyo TV drama “You can become a magician if you are a virgin at the age of 30” and the film “The Prime Minister’s Husband”.

Fans are pouring in messages of condolence over the unfortunate accidental death of an up-and-coming actor.

(SBS Entertainment News reporter Kim Ji-hye)

0 comments
0 FacebookTwitterPinterestThreadsBlueskyEmail
@2025 - All Right Reserved.

Hosted by Byohosting – Most Recommended Web Hosting – for complains, abuse, advertising contact: contact@world-today-news.com