This type of stroke happens when a blood vessel is broken and there is bleeding into the tissue deep within the brain. High blood pressure is often the cause of this type of stroke. It can also be related to a weakened blood vessel. The ruptured vessel stops blood supply for the areas past the leak. Blood then floods the nearby tissues causing pressure and changes in function. It is referred to as a hemorrhagic (hem-o-RAJ-ic) stroke. Subarachnoid hemorrhage is another form of bleeding stroke. This is not the type you experienced.
What are the effects of intracerebral hemorrhage?
An intracerebral hemorrhage may appear and progress very quickly. It can happen anytime of day, many times while active. This is a serious type of stroke and may lead to coma and death.
Other changes that may be a result of an intracerebral hemorrhage include:
• Physical changes
o weakness on one side of the body
o lack of awareness of one side of the body
o difficulty speaking clearly
o knowing what you want to say but not being able to say it
o difficulty understanding
o difficulty swallowing
• Mental changes may include problems with:
o problem solving
• Emotional effects:
o behavior and personality changes (the person may act different than their “normal self”)
o mood swings
o lack of self awareness
brain vessels spasm
and decrease blood
flow to the brain
Irritation caused by
blood outside a blood
vessel in the brain
Medication; tight blood
treatment in Neuro
to inject medication to
open blood vessel
bleeds again if untreated
or after surgery
High blood pressure,
straining or bearing
down to have a bowel
Tight blood pressure
control, decrease excitement
and keep calm/quiet, no strenuous activities, avoid constipation, IV fluids, eat
healthy to help healing,
much fluid in the brain
Brain cannot drain
cerebral spinal fluid
because of swelling
Keep patient’s head elevated, position head in line with body, medications (steroids) to
movement of brain
causing pressure on the
brainstem (the part of
the brain that controls
heart rate and breathing)
|Medication, monitor intracranial pressure, seizure precautions to prevent injury during a seizure, decrease stimulation|
|Hyponatremia: low sodium||
Hormone imbalance or
|Sodium infusion, fluid limitation|
or PICC line, Foley
Pneumonia: infection of
Bed rest, intubation
by a ventilator), aspiration
(fluid or food goes “down
the wrong tube” into
Coughing and deep breathing,
use incentive spirometer, frequent oral care, elevate head of bed, swallow study, early extubation, early activity
Thrombi (blood clots):
can form in legs and
travel to lungs causing
Bed rest (not walking),
|Sequential Compression Devices (SCDs), TED hose (compression stocking), early activity|
How are these strokes treated?
• Surgery. For some patients a neurosurgeon may put in a drain or remove
part of the skull or brain.
• Hospital care. Since bleeding into the brain can be life threatening, hospital
care may be in an Intensive Care Unit.
• Drugs. Drugs can be used to lower blood pressure. Other drugs can help to
reduce swelling in the brain. They also can prevent seizures and decrease
the chance of blood clots forming in the legs.
• Rehabilitation. There is a focus on independence. We provide devices and
services which increase the number of things a person is able to do.
• Prevention. Doing all you can to prevent another stroke is a big part of
treatment. See Health Facts for You # 5736, “Things You Can Do To Reduce
Your Risk of Stroke”.
The information provided should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Any duplication or distribution of the information contained herein is strictly prohibited.
Last Updated: 09/17/2012
Copyright © 09/17/2012 University of Wisconsin Hospitals and Clinics Authority. All rights reserved. Produced by the Department of Nursing. HF#7420
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