Hemorrhagic Stroke Case Paper

There are a few risk factor that contribute to Hemorrhagic Stroke that Steve’s is having. The primary risk factor would be long history of hypertension. Based on the case scenario given, it was not stated that he wasn’t taking any medication for his hypertension. Hence we can derived that his blood pressure was not properly controlled. This situation is worsen due to his daily alcohol consumption habit which is above the moderate drinking level for his age. The normal moderate drinking for man age <65 is 2 standard drinks per day, however Steve had 4 standard drink’s per day even with his hypertension condition. His lifestyle and medical history causes weakening of the walls of the blood vessels in the brain which then leads to the rupture of intracerebral artery. When this happen, it will cause bleeding within the brain tissue which is
During this stage, patient show symptoms of drooping of his left side face, reduce left arm strength, speech problem and being confuse. These symptoms indicate that the affected artery is most likely the middle cerebral artery (mca). MCA supplies blood to the right side of the brain which includes sensory area and primary motor of the arm, face, throat and also the area of speech.Hence give rise to symptom above.

Steve is currently on anti-coagulant therapy (Warfarin) for atrial fibrillation, it does help with his irregular heartbeat since his ECG is normal. However, warfarin increases the risk for intracerebral hemorrhage as it increases bleeding in the brain. As more blood is being released, hematoma will then be form. This then cause the increase in intracranial pressure (ICP) which indirectly reduces Cerebral perfusion pressure(CPP).When this occur patient will show symptoms of headache, vomiting and unreactive pupil. Headache occur from the stretching of the dura and walls of blood vessel,