What are the common sites of brain hemorrhage?

  1. What are the common sites of cerebral hemorrhage?  The most common site of hypertensive cerebral hemorrhage is the basal ganglia, followed by the thalamus, brainstem and cerebellum.  2. What are the manifestations of basal ganglia cerebral hemorrhage?  The common manifestations of basal ganglia hemorrhage include sudden onset of limb numbness and weakness, slurred speech or aphasia, impaired consciousness, double vision to the side of the hemorrhage, severe headache, nausea and vomiting, and urinary incontinence.  3. What are the manifestations of thalamic hemorrhage?  The common manifestations of thalamic hemorrhage are impaired sensation in the lateral face and limbs, indifference, unresponsiveness, and high fever, etc. Patients are more likely to become comatose, and the hemorrhage can often break into the ventricles of the brain to further aggravate the patient’s condition.  Hemorrhage in the medial or lower part of the thalamus commonly manifests as inward inferior vision of both eyes, and hemorrhage to the lateral invasion of the internal capsule may cause hemiplegia and aphasia, and those involving the midbrain may have early consciousness disorder and pupillary changes.  4. What are the manifestations of brainstem hemorrhage?  If the upper part of the brainstem is involved, such as cerebral bridge hemorrhage, there may be impaired consciousness, tetraplegia, eye fixation and pinpoint pupils; if it is a medulla hemorrhage, there may be respiratory arrest and drop in blood pressure, which may rapidly endanger life if not treated in time.  5. What are the manifestations of cerebellar hemorrhage?  Cerebellar hemorrhage commonly manifests as headache, vertigo, frequent vomiting, inability to stand and walk, and about 1/4 of them have typical cerebellar signs such as ipsilateral ataxia, nystagmus, dysarthria, etc. If the brainstem is invaded, facial palsy, abductor nerve palsy and double eye gaze may appear on one side.