Is cerebral hemorrhage the same as cerebral hemorrhage?

As people get older, especially middle-aged and elderly men, they should pay special attention to their high blood pressure, because high blood pressure may cause serious physical illnesses. Cerebral hemorrhage is a serious disease caused by high blood pressure. It mainly refers to a bleeding phenomenon caused by rupture of arteries in the brain. But there is also a saying called cerebral hemorrhage, so are cerebral hemorrhage and cerebral hemorrhage the same phenomenon?

Cerebral hemorrhage is also called cerebral hemorrhage. As the name suggests, cerebral hemorrhage refers to the rupture of blood vessels in the brain parenchyma, and the overflow of blood is called cerebral hemorrhage. This disease is the most common type of hemorrhagic stroke. After a cerebral hemorrhage, blood forms a blood clot in the brain, which is called a cerebral hematoma. Because the space-occupying and compression of cerebral hematoma affects cerebral blood circulation and causes increased pressure and cerebral edema, most patients experience common symptoms such as headache, vomiting, coma and hemiplegia. However, due to different bleeding sites, the clinical manifestations are not the same.

(1) Internal capsule hemorrhage: It is the most common bleeding site. Its typical clinical manifestations are the "three deviations" (hemiplegia, hemisensory disorder, and hemianopsia). The range of internal capsule hemorrhage is larger and the symptoms of nerve damage are more severe. However, if the bleeding is on the outside of the internal capsule and mainly damages the external capsule, the clinical symptoms are usually milder, there is usually no disturbance of consciousness, the hemiplegia is also mild, and the prognosis is better.

(2) Thalamic hemorrhage: If the hemorrhage is unilateral and the amount of bleeding is small, the patient will experience contralateral mild paresis and contralateral hemisensory disturbance, especially obvious proprioception disturbance. If the amount of bleeding is large and the damaged area affects the contralateral thalamus and hypothalamus, vomiting of coffee-like substances will occur, the vomiting is frequent and projectile, and there are symptoms such as polyuria, glycosuria, paralysis of the limbs, and eyes looking towards the tip of the nose. The condition is often serious and the prognosis is poor.

(3) Lobar hemorrhage: also known as subcortical white matter hemorrhage, can occur in any lobe of the brain. In addition to headache and vomiting, bleeding in different cerebral lobes also has different clinical manifestations. For example, frontal lobe hemorrhage may cause mental symptoms such as irritability, suspicion, contralateral hemiplegia, motor aphasia, etc.; parietal lobe hemorrhage may cause contralateral sensory disturbances; temporal lobe hemorrhage may cause sensory aphasia, mental symptoms, etc.; occipital lobe hemorrhage is most common with hemianopsia. The symptoms of lobar hemorrhage are generally slightly milder and the prognosis is relatively good.

(4) Pontine hemorrhage: The pons is a common site for brainstem hemorrhage. The early symptoms are paralysis of the affected side and spread of the opposite limbs, which is called crossed paralysis. This is the clinical feature of pontine hemorrhage. If the amount of bleeding is large, it will affect the opposite side, causing quadriplegia, pupil constriction, high fever, coma, etc. If the blood breaks into the fourth ventricle, serious symptoms such as convulsions and irregular breathing will occur, and the prognosis is usually poor.

(5) Cerebellar hemorrhage: If the amount of bleeding is small, the clinical manifestations are often dizziness first, followed by severe headache, frequent vomiting, unsteady walking, and slurred speech. If the amount of bleeding is large, it will compress the medullary life center and in severe cases may lead to sudden death.

(6) Intraventricular hemorrhage: It is generally divided into primary and secondary. Primary intraventricular hemorrhage is rupture of the choroid plexus within the ventricle and is relatively rare. Secondary hemorrhage is caused by a large amount of intracerebral hemorrhage that penetrates the brain parenchyma and flows into the ventricles. Clinical manifestations include vomiting, sweating, and purple or pale skin. 1 to 2 hours after the onset of the disease, the patient will fall into a deep coma, high fever, quadriplegia or tonic convulsions, unstable blood pressure, irregular breathing, etc. The condition is usually serious and the prognosis is poor.