1. Hemorrhagic stroke

2. Alternative names brain bleeding brain hemorrhage stroke – hemorrhagic hemorrhagic cerebrovascular disease

4. Definition Hemorrhagic stroke occurs when a blood vessel bursts inside the brain. 20% of strokes are hemorrhagic

5. Types of hemorrhagic stroke intracerebral hemorrhage subarachnoid hemorrhage

8. Worldwide statistics WHO: 15 million people suffer a stroke each year 5 million die 5 million permanently disabled. high blood pressure contributes to over 12.7 million strokes worldwide Europe: approximately 650,000 stroke deaths each year risk of stroke in blacks: almost twice that of whites in developed countries incidence of stroke declining due to efforts to lower blood pressure and reduce smoking overall rate of stroke high due to the aging of the population

9. Causes high blood pressure- hypertension (ICH) trauma infections tumors blood-clotting deficiencies abnormalities in blood vessels (arteriovenous malformations) Aneurysm (SAH) accumulation of amyloid drugs - cocaine

12. Warning signs and symptoms sudden trouble seeing in one or both eyes sudden confusion, trouble speaking or understanding sudden trouble walking, dizziness, loss of balance or coordination sudden severe headache with no known cause sudden numbness or weakness of face, arm or leg, especially on one side of the body

13. Think FAST

14. Exams and tests neurologic exam CT scan MRI angiography CBC bleeding time prothrombin/partial thromboplastin time(PT/PTT) CSF (cerebrospinal fluid) examination

16. Treatment IMMEDIATE TREATMENT SURGERY LONG-TERM TREATMENT

17. Possible complications permanent loss of movement or sensation of a part of the body joint contractures muscle spasticity permanent loss of cognitive or other brain functions disruption of communication, decreased social interaction decreased ability to function or care for self decreased life span urinary and respiratory tract infections

18. Prevention Risk factors high blood pressure smoking cocaine alcohol

19. Did you know turmeric, the active ingredient of the Indian curry spice, may help reduce the size of a hemorrhagic stroke stroke - leading cause of adult disability up to 80% of all strokes preventable every 45 seconds someone suffers a stroke every three minutes someone dies from a stroke more women than men die from stroke third most common cause of death globally (Which are first two?) Almost half of the people with a subarachnoid hemorrhage die before reaching the hospital.

20. References www.strokecenter.org www.nlm.nih.gov www.emedicine.medscape.com www.mayoclinic.org