Brain Haemorrhage / Stroke

There are several types of brain haemorrhages. The type depends on the location of the bleeding –
• Intracerebral haemorrhage –
This type of bleeding occurs inside the brain.
• Subarachnoid haemorrhage-
This bleeding occurs between the brain and the membranes that cover it.
• Subdural haemorrhage-
This type happens below the inner layer of the dura and above the brain.
• Epidural haemorrhage –
This is when a bleed develops between the skull and the brain.
Symptoms-

A brain haemorrhage can cause a range of different symptoms. There symptoms may include sudden tingling, weakness, numbness Or paralysis of the face, arm or leg. This is most likely to occur on one side of the body only.
Other symptoms include-
• Sudden, severe headache
• difficulty swallowing
• problems in vision
• loss of balance or coordination
• confusion or difficulty understanding
• difficulty talking or slurred speech
• stupor, lethargy or unconsciousness
• seizures
Causes-

• Head trauma –
Injury is the most common cause of bleeding in the brain for those younger than age 50.
• High blood pressure –
High blood pressure can, over a long period of time, weaken blood vessel walls and can cause brain haemorrhage.
• Aneurysm –
This is a weakening in a blood vessel wall that swells. It can burst and bleed into the brain, leading to a stroke.
• Blood vessel abnormalities-
Weaknesses in the blood vessels in and around the brain may be present at birth and diagnosed only if symptoms develop.
• Amyloid angiopathy –
This is an abnormality of the blood vessel walls that sometimes occurs with aging and high blood pressure. It may cause many small, unnoticed bleeds before causing a large one.
• Blood or bleeding disorders –
Haemophilia and sickle cell anaemia can both contribute to decreased levels of blood platelets and clotting.Blood thinners are also a risk factor.
• Liver disease –
This condition is associated with increased bleeding in general.
• Brain tumors .

Complications-
The bleeding prevents the nerve cells from communicating with other parts of the body and resuming normal function.
Common problems after a brain haemorrhage include movement, speech or memory issues.
Depending on the location of a haemorrhage and the damage that occurs, some complications may be permanent. These might include –
• paralysis
• vision loss
• numbness or weakness in part of the body
• reduced ability to speak or understand words
• difficulty swallowing or dysphagia
• personality change or emotional problems
• confusion or memory loss
Diagnosis-
Diagnosis is usually made based on the results of –
• an evaluation of your physical symptoms
• CT scan or MRI of your brain
• Electroencephalogram (EEG),  Chest X-ray and urinalysis
• Complete blood Count (CBC)
• Spinal tap to examine the cerebrospinal fluid that surrounds the brain
Treatment-
Surgery may be necessary to treat a severe brain haemorrhage. Surgeons wey operate to relieve some of the pressure on the brain.
Other treatment options include anti-anxiety drugs, anti-epileptic drugs, and other medications to control symptoms, such as seizures and severe headaches.
People can recover from a brain haemorrhage, although it is vital that they receive the correct treatment as soon as possible. Rehabilitation can help an individual adjust to life after a brain haemorrhage.
Rehabilitation treatment includes –
• physical therapy
• speech therapy
• occupational therapy
• lifestlyle changes to limit the risk of another hemorrhage
Ayurvedic Perspective –
Brain haemorrhage can be correlated with the disease Pakshaghata in Ayurveda.
Stroke management in Ayurveda –
Panchkarma Therapies –
• Snehana treatment like massage, Kayaseka, Shirodhara, Shirobasti, Pichu etc. with medicated oils followed by different modalities of medicated formentation for 7-21 days helps to increase circulation also strengthens the muscles and nerves.

• Virechana to increase the metabolism, to relieve constipations, strengthens the gut, also helps to improve the functioning of the nerves in the affected area.
• Basti in the form of Matra basti, Anuvasana basti, Niruha basti for the period of 8-32 days helps in nourishing, strengthening and also stabilizing the overall functions of the body functioning.
• Nasya karma for 7-9 days helps to strengthen the muscles, nerves and circulation above the shoulder.

Beneficial Herbs-
• Aswagandha –

• Brahmi –

• Eranda –

• Rasona –

• Rasna –

Effective Medications-
• Mahavatavidhvansan Ras
• Balarista
• Dashmoolarhishta
• Saraswatarhishta
• Ekangvira Ras
• Vrihatvatachintamani Ras