How is a brain hemorrhage treated?

Once you see a doctor, he or she can determine which part of the brain is affected based on your symptoms.

Doctors may run a variety of imaging tests, such as a CT scan, which can reveal internal bleeding or blood accumulation, or an MRI. A neurological exam or eye exam, which can show swelling of the optic nerve, may also be performed. Blood tests and a lumbar puncture (spinal tap) may also be needed.

Treatment for bleeding in the brain depends on the location, cause, and extent of the hemorrhage. Surgery may be needed to alleviate swelling and prevent bleeding. Certain medications may also be prescribed. These include painkillers, corticosteroids or diuretics to reduce swelling, and anticonvulsants to control seizures. Blood products or intravenous fluids may be administered if needed.

Can people recover from brain hemorrhages and are there possible complications?

How well a patient responds to a brain hemorrhage depends on the size of the hemorrhage and the amount of swelling.

Some patients recover completely. Possible complications include stroke, loss of brain function, or side effects from medications or treatments. Death is possible, and may quickly occur despite prompt medical treatment.

Can brain hemorrhages be prevented?


Because the majority of brain hemorrhages are associated with specific risk factors, you can minimize your risk in the following ways:
Treat hypertension. Studies show that 80% of cerebral hemorrhage patients have a history of high blood pressure. The single most important thing you can do is control yours through diet, exercise, and medication.


Don't smoke.


Don't use drugs. Cocaine can increase the risk of bleeding in the brain.


Drive carefully, and wear your seat belt.


If you ride a motorcycle, always wear a helmet.


Investigate corrective surgery. If you suffer from abnormalities, such as aneurysms, surgery may help to prevent future bleeding.


Be careful with Coumadin. If you take warfarin, follow up regularly with your doctor to make sure your blood levels are in the correct range.