Presentation
MESSAGE: Clinician must be aware regarding this rare presentation of tuberous sclerosis. [ncbi.nlm.nih.gov]
Entire Body System
- Weakness
Other causes of hemorrhage include aneurysm -- a weak spot in the wall of an artery -- which then balloons out and may break open. [medicinenet.com]
A hemorrhagic stroke happens when a weak blood vessel bursts and bleeds into the brain. [healthblog.uofmhealth.org]
OUTCOME: Weakness gradually improved. Follow-up neuroimaging showed resolution of hemorrhage. MESSAGE: Clinician must be aware regarding this rare presentation of tuberous sclerosis. [ncbi.nlm.nih.gov]
An aneurysm is a weak spot on the wall of an artery that bulges out into a thin bubble. As it gets bigger, the wall may weaken and burst. If it bursts, blood leaks inside or around the brain. [pacificneuroscienceinstitute.org]
This weak blood vessel is present from birth—it is larger than a capillary and blood that flows in can be at high pressure, causing the AVM to eventually stretch or leak. [health.harvard.edu]
- Fever
[…] hemorrhagic stroke stroke caused by the rupture of a blood vessel in the brain haemorrhagic stroke stroke caused by the rupture of a blood vessel in the brain hemorrhagic cyst a cyst containing blood hemorrhagic fever a group of illnesses caused by a [vocabulary.com]
Four weeks later, he presented with right hemiparesis again, and fever. A diagnosis of cerebral paragonimiasis was based on repeated magnetic resonance imaging of the brain and an enzyme-linked immunosorbent assay for paragonimiasis. [ncbi.nlm.nih.gov]
Medical treatment may be given in order to relieve pain, reduce blood pressure, control seizures, and reduce fever and blood sugar levels. [emoryhealthcare.org]
In some cases, medicines may be given to control blood pressure, brain swelling, blood sugar levels, fever, and seizures. [healthy.kaiserpermanente.org]
- Pallor
They usually manifest as hypertension, palpitations, headache, sweating, and pallor. Malignant paragangliomas are identified by the presence of metastasis. [ncbi.nlm.nih.gov]
Respiratoric
- Cough
All first uses of phenylpropanolamine involved cough or cold remedies. [nejm.org]
Other measures will be taken to keep you from straining from excessive coughing, vomiting, or lifting, or straining to pass stool or change position. If the bleeding is due to a ruptured brain aneurysm, surgery to repair the aneurysm may be done. [healthy.kaiserpermanente.org]
However, in comparison, the patients typically exhibited prodromal symptoms, such as epileptic seizure, headache, dizziness, cough, fever, nausea, and vomiting. [ahajournals.org]
Gastrointestinal
- Vomiting
Hemorrhagic stroke signs Warning signs usually begin very suddenly and evolve over several hours and include headache, nausea and vomiting, and altered mental status. [kingsdaughtershealth.com]
Typical clinical symptoms of hemorrhagic stroke after spine and joint surgeries include headache, vomiting, consciousness disturbance, and mental disorders. It can happen several hours after surgeries. [ncbi.nlm.nih.gov]
If you have a hemorrhagic stroke caused by a slow accumulation of blood, you may experience symptoms such as headaches, lethargy, and nausea or vomiting. [mountsinai.org]
[medical-dictionary.thefreedictionary.com] Gastrointestinal Vomiting We present a case of a previously healthy 36-year-old man who presented with vertigo and vomiting. MRI showed posterior circulation territory infarction. [symptoma.com]
Depending on the location and amount of bleeding in the brain, ICH symptoms may include: Partial or total loss of consciousness Vomiting or severe nausea, when combined with other symptoms Sudden numbness or weakness of face, arm or leg, especially on [pacificneuroscienceinstitute.org]
- Nausea
Hemorrhagic stroke signs Warning signs usually begin very suddenly and evolve over several hours and include headache, nausea and vomiting, and altered mental status. [kingsdaughtershealth.com]
If you have a hemorrhagic stroke caused by a slow accumulation of blood, you may experience symptoms such as headaches, lethargy, and nausea or vomiting. [mountsinai.org]
[my.clevelandclinic.org] Nausea He developed headache, nausea, vomiting, blurred vision, diplopia, dizziness, and ataxia following the procedure. Initial history and examination suggested that the patient's symptoms were vascular in origin. [symptoma.com]
Depending on the location and amount of bleeding in the brain, ICH symptoms may include: Partial or total loss of consciousness Vomiting or severe nausea, when combined with other symptoms Sudden numbness or weakness of face, arm or leg, especially on [pacificneuroscienceinstitute.org]
Immediately following Epley maneuver, she had severe nausea and vomiting, with evolving visual changes. [ncbi.nlm.nih.gov]
Cardiovascular
- Hypertension
RESULTS: A total of 1577 hemorrhagic stroke cases were observed between 2004 and 2009, among which, 1058 were hypertensive and 519 were non-hypertensive. [ncbi.nlm.nih.gov]
- Cyanosis
One should keep a high level of suspicion, especially for PHS, if infants develop unexplained seizure, cyanosis, conscious change, anemia, and/or thrombocytopenia. [ncbi.nlm.nih.gov]
Eyes
- Photophobia
Clinical signs and symptoms of subarachnoid hemorrhage Severe (“thunderclap”) headache Loss of consciousness Meningeal syndrome (neck stiffness, Kernig’s sign, nausea, vomiting, photophobia) Epileptic seizure Psychomotor excitation “Reactive [slideshare.net]
Psychiatrical
- Fear
Large IAs can cause symptoms by compressing cranial nerves, vessels, and brain tissue, but their most feared complication is rupture. The vessels bearing the aneurysms are in the subarachnoid space. [neuropathology-web.org]
Subarachnoid hemorrhage (SAH) is one of the most feared causes of acute headache upon presentation to the emergency department. Headache accounts for 1 – 2% of the emergency room visits and up to 4% of visits to the primary care offices. [healingsinmotion.org]
[…] most common psychological conditions found in people after a stroke are: depression: many people experience intense bouts of crying and feel hopeless and withdrawn from social activities anxiety disorder: where people experience general feelings of fear [hse.ie]
Stroke, TIAs and migraine can share certain symptoms (visual disturbances, numbness, tingling, speech difficulties and muscle weakness on one side of the body), which may lead someone with a migraine to fear they are having a stroke. [betterhealth.vic.gov.au]
These professionals use talk therapy and other methods to help people with reactions such as depression, fear, worries, grief, and anger. [onhealth.com]
Neurologic
- Headache
Hemorrhagic stroke signs Warning signs usually begin very suddenly and evolve over several hours and include headache, nausea and vomiting, and altered mental status. [kingsdaughtershealth.com]
The symptoms of a SAH include: Sudden severe headache – often described as the “worst headache of my life” Vomiting or nausea, especially when combined with other symptoms such as headache Intolerance to light Stiff neck Loss of consciousness, especially [pacificneuroscienceinstitute.org]
Many people have described this as the “worst headache of your life.” [mountsinai.org]
Brain Hemorrhage Symptoms & Signs The Worst Headache of Your Life "Doctor, I have the worst headache of my life." Those words send up a warning when a doctor walks into a room to see the patient. [medicinenet.com]
- Dizziness
[…] walking, dizziness, loss [medlineplus.gov] He developed headache, nausea, vomiting, blurred vision, diplopia, dizziness, and ataxia following the procedure. [symptoma.com]
The signs of a stroke include a sudden severe headache, weakness, numbness, vision problems, confusion, trouble walking or talking, dizziness and slurred speech. [webmd.com]
Other symptoms include: confusion, difficulty speaking or understanding speech; difficulty seeing with one or both eyes; difficulty walking, dizziness, loss of balance or coordination; severe headache with no known cause; fainting or unconsciousness. [who.int]
Symptoms of stroke are Sudden numbness or weakness of the face, arm or leg (especially on one side of the body) Sudden confusion, trouble speaking or understanding speech Sudden trouble seeing in one or both eyes Sudden trouble walking, dizziness, loss [medlineplus.gov]
- Aphasia
The aphasia ( a = not, phasia = speaking ) can present itself as difficulty in speaking ( Broca's aphasia ) as also in a disrupted language comprehension ( listening and reading) Wernicke's Aphasia. [braininjury-explanation.com]
This report describes a case of hemorrhagic stroke that presented as an expressive aphasia after routine hernia repair under spinal anesthesia in an otherwise generally healthy middle-aged outpatient. [ncbi.nlm.nih.gov]
Speechless traces the experiences of aphasia patients and explores the importance of language. Director Richard Alwyn encountered the world of aphasia after his brother-in-law’s stroke. [theguardian.com]
Aphasia may be expressive (difficulty converting thoughts into language), receptive (difficulty understanding verbal and written language), or both. [americannursetoday.com]
- Slurred Speech
The signs of a stroke include a sudden severe headache, weakness, numbness, vision problems, confusion, trouble walking or talking, dizziness and slurred speech. [webmd.com]
Stroke symptoms include: facial drooping, arm numbness or weakness, slurred speech or difficulty talking etc. Treatment for stroke (specifically an ischemic type) is tPA (tissue plasminogen activator). [youtube.com]
Slurred speech or dysarthria Double vision or other vision problems A headache Nausea and or vomiting 2017 Fast Parody Video When it comes to spotting stroke and getting help, the faster, the better. [strokeassociation.org]
Slurred speech Sudden loss of vision Blurry or double vision Sudden paralysis Sudden weakness Sudden dizziness Sudden severe headache, often with neck stiffness and vomiting Remember that “time is brain.” [symptoma.com]
The signs are: Sudden loss of speech Slurred speech Sudden loss of vision Blurry or double vision Sudden paralysis Sudden weakness Sudden dizziness Sudden severe headache, often with neck stiffness and vomiting Remember that “time is brain.” [my.clevelandclinic.org]
- Neck Stiffness
Several findings significantly increase the probability of hemorrhagic stroke: coma (likelihood ratio [LR], 6.2; 95% confidence interval [CI], 3.2-12), neck stiffness (LR, 5.0; 95% CI, 1.9-12.8), seizures accompanying the neurologic deficit (LR, 4.7; [ncbi.nlm.nih.gov]
When the vessel ruptures, the individual may experience a terrible headache, neck stiffness, vomiting, altered mental state, vision loss, stupor, rigidity or coma. Stroke is a serious medical emergency. [kingsdaughtershealth.com]
The signs are: Sudden loss of speech Slurred speech Sudden loss of vision Blurry or double vision Sudden paralysis Sudden weakness Sudden dizziness Sudden severe headache, often with neck stiffness and vomiting Remember that “time is brain.” [my.clevelandclinic.org]
Clinical signs and symptoms of subarachnoid hemorrhage Severe (“thunderclap”) headache Loss of consciousness Meningeal syndrome (neck stiffness, Kernig’s sign, nausea, vomiting, photophobia) Epileptic seizure Psychomotor excitation “Reactive [slideshare.net]
Workup
(See Workup.) Axial noncontrast computed tomography scan of the brain of a 60-year-old man with a history of acute onset of left-sided weakness. [emedicine.medscape.com]
[straitstimes.com] Workup Brain imaging is the single most important tool to assess cerebrovascular accidents. [symptoma.com]
Treatment
Resumption of warfarin treatment was evaluated after hospital discharge. Exposures: No oral anticoagulant treatment or resumption of warfarin treatment, included as a time-dependent exposure. [ncbi.nlm.nih.gov]
Stroke Resources American Heart Association American Stroke Association UPMC Patient Education: Stroke: Emergency Treatment Stroke: Medical Treatment Stroke: Warning Signs Stroke: Risk Factors Stroke and TIA: Finding a Cause [upmc.com]
Hemorrhagic Stroke Treatment Treatment depends on whether the stroke is within the brain (intracerebral) or on the surface between the brain and skull (subarachnoid). [umms.org]
Prognosis
The associations of MPV and PLT count with the occurrence and prognosis of stroke have not been fully clarified. [ncbi.nlm.nih.gov]
Prognosis Hemorrhagic strokes tend to be way more severe than the other main type of stroke. [study.com]
Etiology
Rupture of abnormal artery ((in arterialin arterial hypertension) –the most often etiology (60%) ofhypertension) –the most often etiology (60%) of intraceribral hemorrhage 7. [slideshare.net]
This study investigated the clinical manifestations and outcomes of perinatal stroke and identified its etiologies in Taiwan. [ncbi.nlm.nih.gov]
Epidemiology
Author information 1 Department of Epidemiology and Health Statistics, School of Public Health, Capital Medical University, Beijing, China; Beijing Municipal Key Laboratory of Clinical Epidemiology, Capital Medical University, Beijing, China. 2 Department [ncbi.nlm.nih.gov]
Pathophysiology
This review article summarizes the current knowledge regarding the role and the underlying mechanisms of the NLRP3 inflammasome in the pathophysiological processes of hemorrhagic strokes. [ncbi.nlm.nih.gov]
Prevention
BACKGROUND: Despite long-standing and worldwide efforts, hemorrhagic stroke remains a critical clinical syndrome that exerts a heavy toll on affected individuals and their families due to the lack of preventive and therapeutic targets. [ncbi.nlm.nih.gov]
This seals the aneurysm and prevents blood from flowing into it. [umms.org]
“It’s clear that we need to act now to prevent the UK from sleepwalking towards a stroke crisis.The fact is that most strokes are preventable but there’s still a lot we don’t know. [independent.co.uk]
Vital Signs: Preventing 1 Million Heart Attacks and Strokes Heart disease and stroke are preventable, yet they remain leading causes of death, disability, and health care spending in the United States. [cdc.gov]