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My mom had aneurysm which broke and cause a huge hematoma between her brain and skull. She was barely saved by two doctors which came from their vacation to perform two surgeries on her. They are the only reason she is alive and I am forever thankful to them.
You must be from a well connected or rich family. We normal people don't get that special treatment. Hell we should be lucky if the doctor even runs some tests and doesn't call us crazy
one important difference between epidural and subdural haemorrhage is that, for epidural haemorrhage, patients usually manifest short period of loss of consciousness, and then the patient will wake up for a brief moment before passing out again. This is because epidural haemorrhage is an arterial haemorrhage as the video suggested, the initial haemorrhage was rapid, but shortly after the brain will adjust but then lossing too much blood will bring unconsciousness again.
ARMANDO THANK YOU FOR TAKING TIME TO CREATE THIS VIDEO IN A WAY THAT IS EASY TO UNDERSTAND...I LOST MY BROTHER "MIKEE",33, A MONTH AGO APRIL 16TH IN A MOTORCYCLE ACCIDENT & TRAMAUTIC BRAIN INJURY, & WAS ALMOST BRAIN DEAD, ON LIFE SUPPORT FOR 4 DAYS. THANK YOU FOR ALLOWING MY MOM & I TO HAVE CLARITY ON WHAT SOME OF THE DOCTORS COMPLEX VERBAGE REALLY MEANT. (& ur Drawings are superb! My brother was an artist too!)
Brilliant video. I survived a Subarachnoid Haemorrhage 8 months ago. Had 2 seizures at onset..loss of feeling below waist, extreme headache, throwing up constantly (even for days after surgery) extreme photophobia (i still have a degree of this now, lights bother me).. I really liked your clear explanation and drawings...made it very clear for me to understand what happened. Thank you
6:05 triad of meningismus..... nuchal rigidity, photophobia, headache Great explanation brother ... proud of u... very informative.... keep up the great job 😉👍🏻👍🏻
You are an legend man . Tomorrow is my surgery exam and i need to study this topic. Now I can skip this topic after watching your video. Thanks a lot :)
Lucid intervals are ONLY found in epidural or extradural bleeds. Never subdural. Also, while it's correct that epidural bleeds are caused by trauma and skull fractures that injure the middle cerebral artery, subdural bleeds do NOT have the same causes. Subdural bleeds are chronic bleeds that occur in the bridging veins over periods of hours or days, even weeks; usually in elderly and often in alcoholics, presentig with progressively worsening confusion.
I just want to give you more than one like 🥹😍❤️ You cannot imagine how I’m feeling now after watching your video ❤🎉 It’s the first time and I got all the concepts 🎉🫂 Keep doing it please ❤ so much love ❤️🥰😍
a lucid interval is a temporary improvement in a patient's condition after a traumatic brain injury, after which the condition deteriorates. A lucid interval is especially indicative of an epidural hematoma.
hey mate love your videos. i was under the impression that epidural haematomas are indicative of a initial LOC followed by a lucid interval and later a rapid decline in consciousness; dilated/sluggish pupil and contralateral hemiparesis
It is also possible for multiple haemorrhages to occur both outside and within the brain tissue in cases of severe head trauma and it’s also one of the main factors behind the deaths of victims who have suffered one punch attacks as multiple haemorrhages occurring simultaneously will mostly result in critical neurological damage or complete brain death. The brain crashing into the skull as a result of severe head trauma can not only cause brushing but can also result in haemorrhages occurring within the brain tissue near the point of impact with the skull internally.
Thanks for the content. Did you ever remember what the additional sign/symptom is for subarachnoid bleed? My google search did not reveal anything outside of what you mentioned
Both Epidural and Subdural are characterised by a lucid interval. The lucid interval for Subdural will be longer because the haemorrhage is from a venous source (lower pressure).
Really nice presentation 👌 Sometimes an intracranial haemorrhage can be so discrete that we really need to search for the right finding based on the symptoms. The next day the whole thing could triple in size... Thanks for the video :)
Very good video. But I though epidural hemorrhaging resulted in brief loss of consciousness, lucid interval, then rapid deterioratation. And that, subdural presented as slowly building up, and progression of ICP taking days to weeks. But it did sound like you said they can both present like that
I had subdural haemotoma. About ten days after my fall I had bad headaches and started to see colour blotches on room walls which was supposedly caused by increased bruising pressure on the part of the brain that controls sight.
Another haemorrhage that causes intraventricular haemorrhages (IVH) is a germinal matrix haemorrhage, which if then the bleeding extends into the ventricles becomes an intraventricular haemorrhage. This happening is known collectively as a germinal matrix-intraventricular haemorrhage (GM-IVH).
so if someone was assaulted and approximately a month later started having loss of balance and a brain bleed and seizures with slight numbing in the toe what would you diagnose it as
There’s also ventricular hemorrhage thaat doesn’t have to be secondary. There’s patients with hydrocephalus and pseudo tumor cerebri (like me) who have VP shunts that can cause random bleeding or shift and cause bleeding. Or ones that have a tumor and it compresses the ventricle and bleeding can occur. Not all cases are put in articles or studies or journals etc. I have had 7 LP shunts now a VP Shunt and also Chiari Decompression surgery and Spinal Cord Decompression.
Pray to GOD to heal and wake him if he's unconscious. My sister had a hemorrhage brain stem stroke, December 5, 2022. I've been praying same for my sister 🙏
6:12 lol Meningismus involves the triad (3-symptom syndrome) of nuchal rigidity (neck stiffness), photophobia (intolerance of bright light) and headache
I had a black out in 1997 and then I had 2 blackouts in 2016 and I haven't been the same since and I have 5 Legions and a small brain tumor and I have been under so much stress my brain has become smaller, and I feel off the school bus at the age of 7 and my brain has been through a lot and I can't take anymore stress and thank god I can do what I want and not work anymore! I hate having stress and its being around toxic people in Northern VA and this area stresses me out and I need to be some place else. I really hope I die soon from a brain stroke very soon. My headaches feel like someone pushing on my head. I do remember hitting my head on a lap post when I was trying to get to the bus.