What are the common causes of cerebral hemorrhage?
Jul 19, 2025
Source: Cainiu Health
Dr. Wang Lei
Introduction
Under normal circumstances, common causes of cerebral hemorrhage may include vascular degeneration due to aging, significant emotional fluctuations, a history of hypertension, cerebral vascular malformations, and cerebral 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, common causes of cerebral hemorrhage may include aging-related vascular degeneration, drastic emotional fluctuations, history of hypertension, cerebral vascular malformations, and cerebral aneurysms. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a physician's guidance. Detailed analysis is as follows:
1. Aging-related vascular degeneration: With advancing age, cerebral blood vessels lose elasticity and become more fragile, making them prone to rupture and hemorrhage under blood flow pressure. This is commonly seen in elderly individuals. Regular monitoring of blood pressure and blood lipids is recommended, along with avoiding excessive fatigue, maintaining a light and low-salt diet, and engaging in mild physical activities such as walking.
2. Drastic emotional fluctuations: Sudden emotional changes such as intense anger or extreme excitement can cause a sharp rise in blood pressure, leading to rupture and bleeding of cerebral vessels, often accompanied by headache and vomiting. Individuals should learn to regulate emotions, avoid extreme emotional reactions, handle situations calmly, and, if necessary, calm themselves through techniques such as meditation or deep breathing.
3. History of hypertension: Long-term uncontrolled hypertension can damage blood vessel walls and lead to the formation of microaneurysms. When blood pressure suddenly rises, these aneurysms may rupture and bleed, often accompanied by dizziness and limb numbness. Patients must strictly follow medical advice to take antihypertensive medications such as nifedipine sustained-release tablets, irbesartan tablets, and captopril tablets, and regularly monitor their blood pressure to 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 hemorrhage. This condition is commonly seen in young and middle-aged adults and may be accompanied by recurrent headache. Patients should avoid strenuous physical activity and emotional excitement. Once diagnosed, endovascular embolization may be performed to block the malformed vessels and prevent hemorrhage.
5. Cerebral aneurysm: Localized abnormal bulging of the cerebral artery wall is prone to rupture and hemorrhage during blood pressure fluctuations. The onset is abrupt and often accompanied by severe headache and impaired consciousness. Once diagnosed, early surgical clipping or endovascular coiling should be performed to prevent aneurysm rupture. Postoperatively, patients should follow medical advice to take neuroprotective medications such as nimodipine tablets, sodium citicoline tablets, and oxiracetam capsules.
In daily life, individuals should cultivate healthy lifestyle habits, quit smoking, limit alcohol consumption, and avoid staying up late. Maintaining regular bowel movements and avoiding excessive straining during defecation is important to prevent increased intracranial pressure. Patients with hypertension should adhere to a low-salt diet, reduce intake of fatty meats and fried foods, and thereby lower the risk of cerebral hemorrhage.
