Daily Health Advices

Symptoms

The symptoms of hemorrhagic stroke vary according to their cause:

* Intracerebral hemorrhage: Symptoms almost always occur when the person is awake. Symptoms tend to appear without warning, but can develop gradually. They get worse over a period of 30 to 90 minutes. Symptoms may include:
- sudden weakness
- or paralysis or numbness in any part of the body
- or inability to speak
- or sudden deviation of the eyes in one direction
- or vomiting
- or difficulty walking
- or irregular breathing
- or stupor
- or coma
* Subarachnoid hemorrhage: when is caused by a ruptured aneurysm, symptoms may include: – severe headache or sudden (some people describe it as a “thunderclap”)
- or unconsciousness
- or nausea and vomiting
- or inability to look at bright light
- or stiff neck
- or dizziness
- or confusion
- or convulsion

Diagnosis

Your doctor will want to know their medical history and risk factors for stroke. Your doctor will monitor your blood pressure and examine, including a neurological examination and a cardiac exam.

To diagnose and classify your stroke, your doctor will need an imaging exam of his brain. Some tests may be helpful, including computed tomography (CT) or magnetic resonance imaging (MRI). In the case of hemorrhagic stroke, the TAC are the most effective and rapid tests. If you suspect a subarachnoid hemorrhage, your doctor may do a lumbar puncture, also called a spinal tap, through which a small sample of cerebrospinal fluid with a needle that is inserted into the back. This fluid is examined to see if it contains blood. Another test, called angiography, MRI can provide information on blood flow in your brain.

If these tests show that you have a stroke, will have to be tested for the cause. Since hemorrhagic stroke also cause bleeding, it is important to assess the clotting ability of blood. If you take a blood thinner called warfarin (Coumadin), which could contribute to stroke, blood will be analyzed to measure the effect of this medicine. If endocarditis is suspected it will extract and analyze blood samples in a laboratory to detect bacteria. They could also have an electrocardiogram (ECG) and chest radiography. You will have blood tests to evaluate blood cell count and the clotting ability of blood. Some people will have scans of the neck arteries (carotid Doppler ultrasound) or heart (echocardiography).

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