Brain hemorrhages can be examined under 4 headings depending on the relationship between the brain membranes and the skull. There are 3 layers of membrane surrounding the brain. We can classify the brain as outermost enveloping dura mater and the hemorrhage between the membrane of the skull and the epidural hemorrhage.
Epidural hemorrhages: The brain is the bleeding between the outer envelope and the skull bone. It often develops due to trauma. The decision for surgery is decided according to the volume of the bleeding and whether the brain is pressured or not. If it is in a certain volume and pressures the brain, it must be surgically evacuated. If it is not above a certain volume and does not pressure the brain, it can be expected to be self-absorbed following surgery.
Subdural hemorrhages: The brain is the bleeding that occurs between the outer envelope and the brain. It is divided into two groups as acute and chronic. Acute ones usually develop due to severe head trauma. The decision of surgery is given according to the pressure of the brain and the bleeding volume as it is in the epidural bleedings. Chronic form is frequently seen in people over 60 years of age. Most of these patients had a history of mild head trauma.
Subarachnoid hemorrhages: The second layer surrounding the brain is the bleeding that occurs under the membrane. Trauma may occur spontaneously or spontaneously due to blood pressure. Since these types of hemorrhages are located in the folds of the brain, these hemorrhages are not surgically removed. Self-absorption is ensured with drug and support treatment. The vast majority of spontaneous hemorrhages occur spontaneously due to rupture of the aneurysm formed in any of the main vessels that feed the brain. In case of hemorrhage due to the balloon, the balloon should be surgically closed to prevent it from bursting again. Brain angiography is performed to determine the surgical technique. The shape and the shape of the bubble in the brain angiography is fully revealed. If the shape and location of the bubble is appropriate, the method of filling the bubble by entering the groin can be preferred with the medical name of the coil embolization method. If the shape of the bubble is not suitable for filling from the groin, the balloon is closed by open surgery.
Intracerebral hemorrhages: Direct hemorrhage in the brain. It may develop spontaneously due to trauma, hypertension or blood thinner use. In such bleedings, the decision is made according to the volume and size of the hemorrhage, whether it is pressurized or not.