Hemorrhagic strokes are not as common as strokes caused by a
blood clot (ischemic strokes). But hemorrhagic strokes cause death more often
than ischemic strokes. See the difference between
an ischemic stroke and a hemorrhagic stroke.
How is hemorrhagic stroke treated?
Treatment includes efforts
to control bleeding, reduce pressure in the brain, and stabilize vital signs,
especially blood pressure.
To stop the bleeding, you may be given medicine or a transfusion of parts of blood, such as plasma. These are given through an IV.
You will be
closely monitored for signs of increased pressure on the brain. These signs include
restlessness, confusion, trouble following commands, and headache. Other
measures will be taken to keep you from straining from excessive coughing,
vomiting, or lifting, or straining to pass stool or change
If the bleeding is due to a ruptured
brain aneurysm, surgery to repair the aneurysm may be
In some cases, medicines may be given to control blood
pressure, brain swelling, blood sugar levels, fever, and seizures.
If a large amount of bleeding
has occurred and symptoms are quickly getting worse, you may need surgery to
remove the blood that has built up inside the brain and to lower pressure
inside the head.
Ask your doctor if a stroke rehab program is right for you. Starting a
rehab program as soon as possible after a
stroke increases your chances of regaining some of the abilities you
Claude Hemphill J, et al. (2015). Guidelines for the management of spontaneous intracerebral hemorrhage: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 46(7): 2032–2060. DOI: 10.1161/STR.0000000000000069. Accessed June 23, 2015.
ByHealthwise Staff Primary Medical ReviewerE. Gregory Thompson, MD - Internal Medicine Specialist Medical ReviewerKarin M. Lindholm, DO - Neurology
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