In our life, we often see people with sudden onset of paralysis, slurred speech, or even unconsciousness, diagnosed by doctors as “stroke”. “Stroke” is a common disease, the incidence of which is increasing year by year. The most common ones are cerebral hemorrhage and cerebral thrombosis.
Cerebral hemorrhage: i.e. primary non-traumatic intracerebral hemorrhage. Simply put, it is the rupture of blood vessels in the brain and the spillage of blood, causing a series of symptoms. Cerebral thrombosis usually refers to the narrowing or occlusion of the lumen of a cerebral artery or its cortical branch due to atherosclerosis, and then thrombosis occurs, causing interruption of blood flow to the local blood supply area of the brain, resulting in ischemia, hypoxia and necrosis of brain tissue, and the appearance of corresponding neurological symptoms and signs.
The clinical manifestations of cerebral hemorrhage and cerebral thrombosis have similarities and differences.
1. In terms of age of onset
Patients with cerebral hemorrhage are mostly under 60 years old; while patients with cerebral thrombosis are mostly over 60 years old.
2. From the appearance of patients
Patients with cerebral hemorrhage tend to be thick and short, obese, and have a flushed face; while patients with cerebral thrombosis have a long and thin body shape and a dry and pale face.
3.From medical history
Patients with cerebral hemorrhage have a history of hypertension, while patients with cerebral thrombosis have less.
4.From the antecedent symptoms
Patients with cerebral hemorrhage usually have headache, dizziness, drowsiness, transient motor, sensory and speech dysfunction or epistaxis, fundus hemorrhage, etc. within a few hours to a few days before the hemorrhage, but they are often mistakenly thought to be caused by cold and headache and increased blood pressure, thus delaying the diagnosis and treatment; while patients with cerebral thrombosis can have dizziness, numbness of limbs or facial numbness, numbness of tongue, numbness of lips, temporary slurred vomiting, poor speech, weakness of one limb The patients with cerebral thrombosis may have dizziness, numbness of the limbs or face, numbness of the tongue, numbness of the lips, temporary slurred speech, weakness of one limb, or sudden momentary blurred vision or blackness in front of the eyes or even momentary blindness.
5. From the viewpoint of the state of onset and the speed of onset
Patients with cerebral hemorrhage tend to have onset during activities, and their symptoms peak within minutes to hours; whereas patients with cerebral thrombosis tend to have onset in a quiet state or during sleep, and their symptoms tend to peak within 10 hours or days, and their symptoms gradually worsen.
6.From the symptoms of dizziness, headache and vomiting
Patients with cerebral hemorrhage often have symptoms of increased intracranial pressure such as dizziness, headache, vomiting, drowsiness, yawning, etc. In severe cases, they sweat profusely and vomit coffee-colored stomach contents; while patients with cerebral thrombosis have none or are lighter.
7. From the viewpoint of consciousness disorder and urinary and fecal incontinence
Patients with cerebral hemorrhage are more severely impaired in consciousness and may have urinary and fecal incontinence; while patients with cerebral thrombosis usually do not.
8.From the perspective of limb paralysis
Patients with cerebral hemorrhage have equal degree of hemiparesis in upper and lower extremities, while patients with cerebral thrombosis have non-equal hemiparesis.
9. From cerebrospinal fluid examination
Patients with cerebral hemorrhage may be bloody, while patients with cerebral thrombosis are colorless and transparent.
10.From head CT examination
High-density shadow can be seen on head CT in patients with cerebral hemorrhage, while low-density shadow can be seen in patients with cerebral thrombosis.
Of course, once the above symptoms appear, patients should immediately dial 120 emergency number or go to the hospital accompanied by family members, and after the doctor’s examination and head CT, MRI and other examinations, the diagnosis can generally be clear and timely treated.