Not 'just' a headache, it can be the silent signs of a bleeding brain

Sinar Daily

In this episode of Life & Style podcast, renowned neurosurgeon Dr Moventhiran Ramakrishnan breaks down the warning signs of intracranial bleeding (ICB) - a potentially life-threatening condition often mistaken for a simple headache.  While trauma-related ICB cases usually arrive at the ER immediately, spontaneous bleeds like hypertensive strokes or ruptured aneurysms can be more deceptive.   The number one early symptom? A sudden, severe headache - even in people who’ve never been diagnosed with high blood pressure.  Watch now and learn how to spot the difference before it’s too late.  WATCH FULL VIDEO: FACEBOOK: https://www.facebook.com/sinardaily/videos/707104542326112 YOUTUBE: https://www.youtube.com/watch?v=DaXM3WimLO8&t=1029s  #BrainHealth #Neurosurgery #HeadacheAwareness #StrokeAwareness #Hypertension #BrainBleed #Aneurysm #MedicalPodcast #LifeAndStylePodcast #SinarDaily

Transcript

00:00They will complain mild headache, light headache, which is like a person might be normal all through.

00:05They've not been diagnosed with hypertension but they will say, I have a headache today.

00:10But the headache is bad, it's kind of bad.

00:12What are the typical signs and symptoms that the patient would present or maybe the family members would pick up?

00:18Most of the time they're always being associated with headache and sometimes blurring of vision.

00:23So, and how does it differ between the etiologies that which symptoms comes first?

00:30Basically, brain, the first warning sign, example, in the spontaneous bleed.

00:35Because trauma, usually they already come to us in the emergency department.

00:39So, we usually don't need the specific sign for them.

00:42But in hypertension bleed or hypertensive bleed or stroke or aneurysm ruptured,

00:47the number one causative sign and symptom is headache.

00:51So, they will complain mild headache, light headache, which is like a person might be normal all through.

00:57So, they've not been diagnosed with hypertension but they will say, I have a headache today.

01:02But the headache is bad, it's kind of bad.

01:04And subsequently, they will start to have other symptoms like vomiting.

01:09This is sign of a raised intracranial pressure.

01:11And subsequently, brain is a very specific and beautiful structure.

01:16That means if you have a bleed in a certain area, you have a certain symptoms.

01:21Like most commonly in a stroke, in a hypertensive bleed, usually in a basal ganglia,

01:26which is 60% of, sorry, 58% is in a basal ganglia.

01:30They will come with the weakness.

01:32That means unilateral weakness.

01:33They have a weakness of the right arm, left arm and also a right leg, left leg.

01:38It depends how big the clot and how severe the bleeding is.

01:41Ask for a CGT

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