What causes cerebral hemorrhage?
Jul 19, 2025
Source: Cainiu Health
Dr. Wang Lei
Introduction
Under normal circumstances, intracerebral hemorrhage may be caused by factors such as vascular degeneration due to aging, significant emotional fluctuations, a history of hypertension, cerebral vascular malformations, or intracranial aneurysms. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. In daily life, it is important to develop healthy lifestyle habits, quit smoking, limit alcohol consumption, and avoid staying up late.
Generally, cerebral hemorrhage may be caused by factors such as aging-related vascular degeneration, intense emotional fluctuations, a history of hypertension, cerebral vascular malformations, or intracranial aneurysms. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. Detailed explanations are as follows:
1. Aging: With advancing age, cerebral blood vessels lose elasticity and become more fragile, making them prone to rupture and bleeding under blood flow pressure. This is commonly seen in the elderly and may be accompanied by dizziness. Regular monitoring of blood pressure and lipid levels is recommended. Avoid excessive fatigue, maintain a light and low-salt diet, and engage in mild physical activities such as walking to protect vascular function.
2. Intense Emotional Fluctuations: Sudden emotional changes, such as rage or extreme excitement, can cause a sharp rise in blood pressure, leading to rupture and bleeding of cerebral vessels. This may be accompanied by headache and vomiting. It is important to learn emotional regulation, avoid extreme emotional reactions, handle situations calmly, and use techniques such as meditation or deep breathing when necessary to stabilize blood pressure.
3. History of Hypertension: Uncontrolled long-term hypertension can damage blood vessel walls and lead to the formation of microaneurysms. A sudden increase in blood pressure may cause these aneurysms to rupture, resulting in cerebral hemorrhage, which may be accompanied by limb numbness and weakness. Patients must strictly follow medical advice to take antihypertensive medications such as nifedipine sustained-release tablets, irbesartan tablets, or captopril tablets, regularly monitor blood pressure, and maintain it within the normal range.
4. Cerebral Vascular Malformation: Congenital abnormalities in cerebral vascular development result in weak vessel walls that are prone to rupture and bleeding. This condition is commonly seen in young and middle-aged adults and may be accompanied by recurrent headaches. Patients should avoid strenuous physical activity and emotional excitement. Once diagnosed, endovascular embolization may be performed to block the malformed vessels and prevent bleeding. Regular follow-up examinations are necessary after surgery.
5. Intracranial Aneurysm: Localized abnormal bulging of the cerebral artery wall is prone to rupture during blood pressure fluctuations. The onset is sudden, often accompanied by severe headache and impaired consciousness. Once diagnosed, prompt surgical intervention such as craniotomy for aneurysm clipping or endovascular embolization should be performed to prevent rupture. Postoperative treatment should follow medical advice to use neuroprotective medications such as nimodipine tablets, sodium citicoline tablets, or oxiracetam capsules.
Maintain healthy lifestyle habits daily, quit smoking, limit alcohol consumption, and avoid staying up late. Ensure regular bowel movements and avoid straining during defecation to prevent increased intracranial pressure. Patients with hypertension should adhere to a low-salt diet, reduce intake of fatty meats and fried foods, and lower the risk of cerebral hemorrhage.
