Ridwan Saidis History Of Pain Ruptured Blood Vessels Could Be Fatal
Jakarta
Betawi humanist Ridwan Saidi passed away on Sunday morning . Previously, this 80-year-old politician was treated in intensive care at the hospital because his condition was critical, said to have ruptured blood vessels.
Confirmation of Ridwan Saidis death began with Fadli Zons tweet via his Twitter account. He conveyed his condolences and a short message for the deceased.
Innalillahi wainnailaihi raajiun. The news from his sons and daughters, Bang Ridwan Saidi, has died this morning at 08.35 WIB at RSPI Bintaro. God willing, husnul khotimah. Bang RS is an extraordinary discussion friend, broad insight and experience. Al Fatihah, wrote Fadli zone.
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Until now, it is not clear what the cause and chronology of the broken blood vessels experienced by Ridwan Saidis mending. This is because this condition can occur anywhere in the body, from the skin, eyes, to the brain.
What Are The Chances Of Surviving A Brain Aneurysm
People can go their entire lives not knowing they have an unruptured brain aneurysm. As long as its intact, your odds are good. But there is a risk that the brain aneurysm will rupture, which depends on many factors, including aneurysm size, location and several others. If an aneurysm does rupture, it leaks blood into the space surrounding your brain and sometimes into the brain tissue itself, causing a hemorrhagic stroke.
A ruptured brain aneurysm requires emergency medical treatment. As more time passes with a ruptured aneurysm, the likelihood of death or disability increases. About 75% of people with a ruptured brain aneurysm survive longer than 24 hours. A quarter of the survivors, though, may have life-ending complications within six months.
How Brain Aneurysms Are Treated
If a brain aneurysm is detected before it ruptures, treatment may be recommended to prevent it rupturing in future.
Most aneurysms do not rupture, so treatment is only carried out if the risk of a rupture is particularly high.
Factors that affect whether treatment is recommended include your age, the size and position of the aneurysm, your family medical history, and any other health conditions you have.
If treatment is recommended, this usually involves either filling the aneurysm with tiny metal coils or an open operation to seal it shut with a tiny metal clip .
The same techniques used to prevent ruptures are also used to treat brain aneurysms that have already ruptured.
If your risk of a rupture is low, you’ll have regular check-ups to monitor your aneurysm.
You may also be given medicine to reduce your blood pressure and advice about ways you can reduce your chances of a rupture, such as stopping smoking if you smoke.
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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 high blood pressure. 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.
- Donât use drugs. Cocaine, for example, can increase the risk of bleeding in the brain.
- Drive carefully, and wear your seat belt.
- If you ride a motorcycle, bicycle or skateboard, 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 warfarin . If you take this blood-thinning drug follow up regularly with your doctor to make sure your blood levels are in the correct range.
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Aortic Aneurysm Treatment Options
The doctor may monitor an unruptured aortic aneurysm, if no symptoms are evident. Medications and preventive measures may form part of conservative management, or they may accompany active surgical treatment.
A ruptured aneurysm needs emergency surgery. Without immediate repair, patients have a low chance of survival.
The decision to operate on an unruptured aneurysm in the aorta depends on a number of factors related to the individual patient and features of the aneurysm.
These include:
- the age, general health, coexisting conditions and personal choice of the patient
- the size of the aneurysm relative to its location in the thorax or abdomen, and the aneurysms rate of growth
- the presence of chronic abdominal pain or risk of thromboembolism, as these may also necessitate surgery
A large or rapidly growing aortic aneurysm is more likely to need surgery. There are two options for surgery:
- open surgery to fit a synthetic or stent graft
- endovascular stent-graft surgery.
In endovascular surgery, the surgeon accesses the blood vessels through a small incision near the hip. Stent-graft surgery inserts an endovascular graft through this incision using a catheter. The graft is then positioned in the aorta to seal off the aneurysm.
In an open AAA repair, a large incision is made in the abdomen to expose the aorta. A graft can then be applied to repair the aneurysm.
Endovascular surgery for the repair of aortic aneurysms carries the following risks:
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Are Brain Aneurysms Painful
Most people who have an unruptured brain aneurysm dont even know its there. It usually doesnt cause pain or any symptoms at all.
However, many smaller aneurysms are actually found when investigating causes of chronic headache. Researchers don’t know for sure if headaches are directly related to an unruptured aneurysm. One thought is that the swollen blood vessel is pressing into the nerves and membranes/tissues around the brain, causing the headache.
A sudden, severe headache can be a sign of a ruptured aneurysm. Rarely, you can also have a headache that lasts for days or weeks from an aneurysm thats leaking a small amount of blood. This type of lingering headache is called a sentinel headache. Its a warning that the aneurysm is about to burst.
Bleeding Within The Brain
Intracerebral haemorrhage is where blood leaks out of a blood vessel into the brain tissue, sometimes deep inside the brain. ICH is the most common type of haemorrhagic stroke, and around two thirds of all haemorrhagic strokes are ICH.
Main causes of ICH
Cerebral small vessel disease
Cerebral small vessel disease means having damage to very small blood vessels in your brain. This can lead to blood leaking into the brain tissue, often deep inside the brain. There are two main types:
- Small vessel disease due to high blood pressure.
High blood pressure is a main cause of small vessel disease in the brain. Over a long period, high blood pressure damages the blood vessels inside your brain, making them stiffen, and causing blockages.
Small areas of damage develop, which look like tiny scars on a brain scan. These damaged areas reduce the blood flow to your brain cells. This can affect your thinking ability and mood, and its linked to cognitive decline and dementia. It also makes a haemorrhagic stroke more likely to happen.
- Cerebral amyloid angiopathy .
This is a common type of small vessel disease where a protein called amyloid beta builds up inside the small blood vessels near the surface of the brain. This damages the blood vessels, making them more likely to bleed. This can cause a haemorrhagic stroke, and can also lead to microbleeds which dont always have obvious symptoms.
Abnormal blood vessels in the brain
- Arteriovenous malformation .
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What Is A Ruptured Aneurysm
An aneurysm is a balloon-like bulge or weakening of an artery wall. As the bulge grows it becomes thinner and weaker. It can become so thin that the blood pressure within can cause it to leak or burst open. Aneurysms usually occur on larger blood vessels at the fork where an artery branches off. Types of aneurysms include :
- Saccular – the aneurysm bulges from one side of the artery and has a distinct neck at its base.
- Fusiform – the aneurysm bulges in all directions and has no distinct neck.
- Dissecting – a tear in the inner wall of the artery allows blood to split the layers and pool often caused by a traumatic injury.
Figure 1.
When an aneurysm bursts, it releases blood into the spaces between the brain and the skull. This space is filled with cerebrospinal fluid that bathes and cushions the brain. As blood spreads and clots it irritates the lining of the brain and damages brain cells. At the same time, the area of brain that previously received oxygen-rich blood from the affected artery is now deprived of blood, resulting in a stroke. A subarachnoid hemorrhage is life threatening with a 40% risk of death.
Enclosed within the rigid skull, clotted blood and fluid buildup increases pressure that can crush the brain against the bone or cause it to shift and herniate. Blockage of the normal CSF circulation can enlarge the ventricles causing confusion, lethargy, and loss of consciousness.
Figure 2.
Ruptured Blood Vessels In The Brain Is It Possible To Treat It Without Surgery
Tribunnews.com Reporter, Eko Sutriyanto
TRIBUNNEWS.COM, JAKARTAAneurysmbrain maybe many do not understand it. However, as a result of this condition, it is estimated that around 500 thousand people die every year.
Aneurysm brain is the condition in which the wall blood vesselbrain widening or protruding due to weak walls blood vessel the.
If this aneurysm ruptures, it can result in a fatal condition, namely bleeding brain and damage brain.
This aneurysm rupture is estimated to be experienced by 1 person every 18 minutes.
Aneurysm brain It can happen to anyone, and generally before an aneurysm ruptures there are no symptoms, so regular brain check-ups are recommended.
Some famous people have experienced ruptured aneurysms brain diantaranya, Sharon Stone, Emilia Clarke , Dr. Dre, Neil Young.
The impact is arguably not light.
Aneurysms do not always lead to death, but the quality of life of the sufferer is also a challenge for the family.
Disability, treatment, labor, and large costs are important factors that need to be understood by people with brain aneurysms.
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Whats The Outlook With A Brain Aneurysm
You may never know that you have an unruptured brain aneurysm. If it doesnât rupture, you may live your entire life without any issues. But thereâs always a risk that itâll bleed.
If this happens, youâll need immediate medical help. The longer you wait, the worse your outcome could be. Your chances of death or disability go up as more time passes after your aneurysm ruptures.
Around 75% of people with a ruptured brain aneurysm will live longer than 24 hours. But a fourth of these people could have fatal complications within the next 6 months.
If your doctor doesnât treat your aneurysm quickly enough you might bleed again from the same area. So, itâs important to get help as soon as possible if you think you have symptoms of a brain aneurysm.
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How Are Cerebral Aneurysms Diagnosed
Most cerebral aneurysms go unnoticed until they rupture or are detected during medical imaging tests for another condition.
If you have experienced a severe headache or have any other symptoms related to a ruptured aneurysm your doctor will order tests to determine if blood has leaked into the space between the skull bone and brain.
Several tests are available to diagnose brain aneurysms and determine the best treatment. These include:
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What Causes A Busted Blood Vessel In The Brain
The origin of brain bleeding can be attributed to a variety of factors, including: head trauma, which can be caused by a fall, vehicle accident, sports injury, or other form of hit to the head High blood pressure , which can cause damage to the blood vessel walls and cause the blood vessel to leak or rupture, is a serious condition.
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How Are Brain Hemorrhages Treated
Any type of bleeding inside the skull or brain is a medical emergency. If you or a loved one have experienced a blow to the head or have symptoms that may indicate a brain bleed, call 911. It is important to get to a hospital emergency room immediately to determine the cause of the bleeding and to begin medical treatment.
If a stroke has occurred, the cause must be determined so that the appropriate treatment can be started. Prompt medical treatment can help limit damage to the brain, which will improve your chance of recovery.
Surgery may be needed in the following situations:
- Bleeding may require immediate decompression of the brain to release pooled blood and relieve pressure. Decompression may be done through a burr hole procedure , a craniectomy incision , or a craniotomy .
- A cerebral aneurysm that has not ruptured may require clipping or filling of the aneurysm through a craniotomy surgical procedure, or an angiography-type procedure to prevent a future rupture.
- An arteriovenous malformation that has not ruptured is treated by direct removal of the AVM through surgery, use of computer-guided radiation to close off the abnormal vessels or use of a special glue or other filler to block the blood flow from smaller blood vessels into the AVM or the vessels that supply the AVM.
- Some brain hemorrhages do not require surgery. The decision depends on the size, cause and location of the bleed and other factors.
Other treatments may include:
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What Causes Blood Vessel Rupture In The Brain
The origin of brain bleeding can be attributed to a variety of factors, including: head trauma, which can be caused by a fall, vehicle accident, sports injury, or other form of hit to the head High blood pressure , which can cause damage to the blood vessel walls and cause the blood vessel to leak or rupture, is a serious condition.
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What Causes Brain Aneurysms To Bleed
Researchers havent discovered exactly what causes an aneurysm to leak or rupture, which causes bleeding in or around the brain. But anything that increases your blood pressure can be dangerous. Higher blood pressure makes blood push harder against blood vessel walls. Things that may increase blood pressure include:
- Ongoing stress or a sudden burst of anger or other strong emotion.
- Working hard to lift, carry or push something heavy like weights or furniture.
- Known high blood pressure that is not treated appropriately with medications.
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Can You Get A Brain Bleed Without Hitting Your Head
If youre an older adult, even a little head injury might result in a hematoma in your brain. In particular, if you are using a blood-thinning medicine or an anti-platelet prescription such as aspirin, you should be cautious. Even if there is no visible injury such as an open cut, bruising, or other visible damage, you might be suffering from a significant injury.
Treating An Unruptured Aneurysm
A flow diverter, endovascular coiling or surgical clipping can be used to close off an unruptured aneurysm and inhibit it from leaking or rupturing in the future. However, for some patients, the risk of these procedures might outweigh their benefits.
The threat the aneurysm poses to the patient’s health will be evaluated by a neurologist and an interventional neuroradiologist or neurosurgeon to determine if treatment is appropriate.
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What Causes A Brain Aneurysm To Rupture
Risk of rupture increases when the blood pressure in the vessel rises. Rupture risks also depend on the size and shape of the aneurysm, among many other variables. Expert and prompt evaluation, and treatment if needed, can decrease the risk of rupture.
In this video, Rose Du, MD, PhD, Director of Cerebrovascular Surgery discusses brain aneurysm risk factors, the decision of whether to treat an aneurysm, and what types of treatments are available.
How Is A Brain Hemorrhage Treated
Once you see a doctor, they 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. A lumbar puncture is usually not performed, as it may be dangerous and make things worse.
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 osmotics to reduce swelling, and anticonvulsants to control seizures.
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Where Can I Get More Information
For more information on neurological disorders or research programs funded by the National Institute of Neurological Disorders and Stroke, contact the Institute’s Brain Resources and Information Network at:
Office of Communications and Public LiaisonNational Institute of Neurological Disorders and StrokeNational Institutes of HealthBethesda, MD 20892
NINDS health-related material is provided for information purposes only and does not necessarily represent endorsement by or an official position of the National Institute of Neurological Disorders and Stroke or any other Federal agency. Advice on the treatment or care of an individual patient should be obtained through consultation with a physician who has examined that patient or is familiar with that patient’s medical history.
All NINDS-prepared information is in the public domain and may be freely copied. Credit to the NINDS or the NIH is appreciated.
Bleeding On The Surface Of The Brain
Subarachnoid haemorrhage is where blood leaks out of a blood vessel on the surface of the brain, and gets into the protective layer of fluid surrounding the brain. This layer is known as the subarachnoid space.
SAH is the least common type of stroke, and around one in three of all haemorrhagic strokes are SAH .
What is the subarachnoid space?
The brain is surrounded by a double layer of protective membranes, with cerebrospinal fluid in between. This layer of fluid is called the subarachnoid space, and it helps to cushion the brain from injury.
Main causes of SAH
SAH is often due to a burst aneurysm. An aneurysm is a blood vessel that has ballooned out. The walls of an aneurysm are weak, and they sometimes burst, causing bleeding into the layer of fluid around the brain.
Surgery to treat SAH
Surgery for SAH aims to stop the bleeding by sealing the weak area of blood vessel. The procedure used depends on how big the aneurysm is, and where its located in the brain. Your doctors will discuss the options with you and explain the likely recovery times. If its an emergency procedure, they will use the method that works best for you and your stroke.
The main surgical procedures to repair a burst aneurysm are:
Coiling
Clipping
Clipping involves removing a small flap of bone from the skull, and using a tiny titanium clip to seal the aneurysm. After the clip is in place, the piece of bone is replaced and the scalp is stitched together.
Do all aneurysms need surgery?
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