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HanoiAfter taking a shower at 10pm, the 27-year-old woman in Vinh Phuc suddenly had a severe headache, lying on the bed, holding her head in her arms.
The husband took her to a district hospital and then transferred her to the Stroke Center, 108 Hospital Central Militar, to be transferred by ambulance. The patient was not paralyzed, still aware of his surroundings, but his headache was getting worse and worse.
Dr. Nguyen Van Tuyen, Director of the Center for Stroke, indicated an MRI, the result of a stroke due to a malformation of the cerebral vessels, subarachnoid bleeding. Doctors managed to get the patient to block the malformed vessels, on December 16, through the critical crisis.
The doctor said that the lucky patient has not had a cerebral vascular rupture. If it breaks, blood is spilled, the critical condition can lead to paralysis, coma, death.
Nursing visits to patients. Image: Thuy Quynh
Dr. Tuyen said that there are many causes of stroke in young people, of which cerebral vascular malformation is one of the leading causes of brain burns. Cerebral vascular malformations can be congenital or take many years to develop.
“This patient has a congenital cerebral vascular malformation, the night bath is a possibility of developing the disease,” said the doctor. During a night show, blood pressure changes dramatically, leading to serious consequences such as stroke, heart attack. Along with that, when bathing, body temperature also changes, creating pressure that causes arteries or capillaries to rupture.
Cold weather is also one of the risk factors for stroke, the doctor said. Sudden cold weather causes blood vessels to constrict, leading to increased blood pressure and brain bleeding. Many people in the cold are usually sedentary, leading to weight gain is also a factor that increases blood pressure and the risk of stroke. In addition, some other opportunistic factors such as stress, traffic accidents, lead to cerebral vascular rupture.
Before the rupture of blood vessels, patients often have headache symptoms, the treatment does not go away. In the case of a major deformity that puts pressure on the brain, the patient may have paralyzed limbs. When a blood vessel is ruptured, symptoms of severe headache, increased blood pressure, vomiting, hemiplegia, dysphasia or muteness, many cases of normal consciousness or daydreaming, coma …
There are two methods for examining the cerebral vessels: cerebral vascular resonance and cerebral vascular tomography. If a vascular malformation is found, doctors can treat the aortic ganglion before the malformation ruptures. Currently, most patients with cerebral vascular malformation have no symptoms, when the malformation has ruptured it is difficult to treat or can be life threatening if not timely.
To avoid a life-threatening event, doctors recommend not only the elderly to have cerebrovascular scans, but also the young, at least once during their youth.
