What are the main causes of cerebral hemorrhage?

Generally, the main causes of cerebral hemorrhage include trauma, excessive emotional fluctuations, hypertension, arteriosclerosis, and cerebral amyloid angiopathy. If experiencing any discomfort symptoms, it is recommended to seek timely treatment at a reputable hospital. A detailed explanation is as follows:

1. Trauma: When the head experiences external forces such as impact or compression, the strong force can directly damage cerebral blood vessels, causing them to rupture. Additionally, the external force may cause significant displacement of brain tissue within the cranial cavity, stretching and twisting blood vessels, leading to tearing and bleeding of the vessel walls.

2. Excessive Emotional Fluctuations: Sudden intense emotional changes, such as anger or excitement, can activate the sympathetic nervous system, prompting the excessive secretion of hormones like adrenaline, which leads to a sharp increase in blood pressure. A rapid and significant rise in blood pressure can exert immense pressure on pre-existing weak areas of cerebral blood vessels, causing them to rupture and bleed. Patients should promptly adjust unhealthy lifestyle habits and avoid excessive alcohol consumption and smoking.

3. Hypertension: In a state of long-term hypertension, small cerebral arteries continuously endure excessive pressure, resulting in damaged intima, hyaline degeneration, fibrinoid necrosis, and a loss of elasticity, making the vessel walls fragile. When blood pressure suddenly rises, the weakened vessel walls may be unable to withstand the pressure, making them prone to rupture and cause cerebral hemorrhage. Patients can take medications such as nifedipine sustained-release tablets, amlodipine besylate tablets, and irbesartan hydrochlorothiazide tablets under a doctor's guidance to lower blood pressure.

4. Arteriosclerosis: Lipids deposit in the arterial intima, forming atherosclerotic plaques that thicken, harden, and narrow the arterial lumen. As the disease progresses, plaques may rupture or ulcerate, forming blood clots. The hardened vessel walls lose elasticity and are prone to rupture and bleeding under blood flow pressure or blood pressure fluctuations. Patients may follow medical advice to use medications such as aspirin enteric-coated tablets, clopidogrel hydrogen sulfate tablets, and warfarin sodium tablets for treatment.

5. Cerebral Amyloid Angiopathy: This condition involves abnormal deposition of β-amyloid protein in cerebral vessel walls, weakening the vessel strength and causing the walls to become brittle and less elastic. These affected vessels cannot withstand normal blood flow pressure and may spontaneously rupture and bleed even without obvious triggers or with only minor blood pressure fluctuations. Patients can seek treatment at reputable hospitals through procedures such as carotid endarterectomy or craniotomy with brain tissue resection.

Regardless of the cause, patients should maintain emotional stability and avoid stress and anxiety during treatment.