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Headaches Due to Brain Hemorrhage (Aneurysm)


A Headache may occur as a result of a leaking or ruptured aneurysm (abnormal ballooning or out-pouching of a weakened section of the brain's blood vessels). As the brain is enclosed in the skull, the leaking of blood from one of these aneurysms can lead to blood accumulating in the space surrounding the brain (subarachnoid hemorrhage) or in the brain itself (intracerebral hemorrhage).


The Headache is described as "sudden", a "thunderclap" Headache, and often "the worst Headache of my life." It may be associated with neurological symptoms, including a brief Loss of Consciousness, Weakness, sensory loss, speech difficulty, Neck Stiffness, and eye movement abnormalities. If not treated immediately, it may lead to Stroke or death.


The cause of aneurysm is not well known. There is a genetic predisposition in persons with Polycystic Kidney Disease or coarctation of the aorta; a tendency to inheritance among 5 to 7 percent of aneurysms patients; and a bacterial or fungal infection occurs in 2.6% - 6% of all Brain Aneurysm cases. Socio-economic background, diet(N), and general health status also have been considering factors.



Examination:

    1. Focal neurological deficits
    2. Neck Stiffness if aneurysm has ruptured

Imaging:

    1. Cerebral Angiography (dye is injected into the carotid artery to get an image of the blood vessels of the brain)
    2. CT scan will usually show bleeding after an aneurysmal rupture
    3. MRI

Laboratories:
    Lumbar puncture (spinal tap) -- cerebrospinal fluid will show blood after an interval of time if there is aneurysm rupture.
Electrocardiogram: may cause EKG abnormalities

Subarachnoid Hemorrhage may cause heart(N) abnormalities


Unruptured aneurysms:

    1. Large aneurysms are surgically clipped at their bases to prevent rupture.
    2. Small aneurysms (less than 1/2 centimeter) without symptoms are usually followed with repeated cerebral angiographies.

Ruptured aneurysms:
    1. Surgical clip placed at the base of the aneurysm
    2. Aminocaproic acid may be considered, but has complications
    3. Calcium channel blockers such as Nimodipine may prevent spasm of the artery where the aneurysm ruptured.


  • Headaches - general
  • Migraine Headaches
  • Tension Headaches
  • Cluster Headaches
  • Ophthalmoplegic Migraine
  • Stroke
  • subarachnoid hemorrhage
  • Brain Tumor
  • Headaches due to Brain Tumor
  • Brain Aneurysm
  • Headaches due to substance Abuse(P)
  • Headaches due to post-traumatic injuries or Concussion(P)
  • sinus infection or Sinusitis
  • Headaches due to sinus infections
  • Headaches due to changes in intracranial pressure(N)
  • Meningitis
  • Shingles
  • Temporal Arteritis
  • Subarachnoid Hemorrhage
  • Intracerebral Hemorrhage
  • Transient Ischemic Attack
  • Arteriovenous Malformations



  • more about Headaches Due to Brain Hemorrhage (Aneurysm


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