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My mom had aneurysm which broke and cause a huge hematoma between her brain and skull. She was barely saved by two doctors which came from their vacation to perform two surgeries on her. They are the only reason she is alive and I am forever thankful to them.
You must be from a well connected or rich family. We normal people don't get that special treatment. Hell we should be lucky if the doctor even runs some tests and doesn't call us crazy
one important difference between epidural and subdural haemorrhage is that, for epidural haemorrhage, patients usually manifest short period of loss of consciousness, and then the patient will wake up for a brief moment before passing out again. This is because epidural haemorrhage is an arterial haemorrhage as the video suggested, the initial haemorrhage was rapid, but shortly after the brain will adjust but then lossing too much blood will bring unconsciousness again.
ARMANDO THANK YOU FOR TAKING TIME TO CREATE THIS VIDEO IN A WAY THAT IS EASY TO UNDERSTAND...I LOST MY BROTHER "MIKEE",33, A MONTH AGO APRIL 16TH IN A MOTORCYCLE ACCIDENT & TRAMAUTIC BRAIN INJURY, & WAS ALMOST BRAIN DEAD, ON LIFE SUPPORT FOR 4 DAYS. THANK YOU FOR ALLOWING MY MOM & I TO HAVE CLARITY ON WHAT SOME OF THE DOCTORS COMPLEX VERBAGE REALLY MEANT. (& ur Drawings are superb! My brother was an artist too!)
Brilliant video. I survived a Subarachnoid Haemorrhage 8 months ago. Had 2 seizures at onset..loss of feeling below waist, extreme headache, throwing up constantly (even for days after surgery) extreme photophobia (i still have a degree of this now, lights bother me).. I really liked your clear explanation and drawings...made it very clear for me to understand what happened. Thank you
6:05 triad of meningismus..... nuchal rigidity, photophobia, headache Great explanation brother ... proud of u... very informative.... keep up the great job 😉👍🏻👍🏻
Lucid intervals are ONLY found in epidural or extradural bleeds. Never subdural. Also, while it's correct that epidural bleeds are caused by trauma and skull fractures that injure the middle cerebral artery, subdural bleeds do NOT have the same causes. Subdural bleeds are chronic bleeds that occur in the bridging veins over periods of hours or days, even weeks; usually in elderly and often in alcoholics, presentig with progressively worsening confusion.
a lucid interval is a temporary improvement in a patient's condition after a traumatic brain injury, after which the condition deteriorates. A lucid interval is especially indicative of an epidural hematoma.
You are an legend man . Tomorrow is my surgery exam and i need to study this topic. Now I can skip this topic after watching your video. Thanks a lot :)
I just want to give you more than one like 🥹😍❤️ You cannot imagine how I’m feeling now after watching your video ❤🎉 It’s the first time and I got all the concepts 🎉🫂 Keep doing it please ❤ so much love ❤️🥰😍
It is also possible for multiple haemorrhages to occur both outside and within the brain tissue in cases of severe head trauma and it’s also one of the main factors behind the deaths of victims who have suffered one punch attacks as multiple haemorrhages occurring simultaneously will mostly result in critical neurological damage or complete brain death. The brain crashing into the skull as a result of severe head trauma can not only cause brushing but can also result in haemorrhages occurring within the brain tissue near the point of impact with the skull internally.
Both Epidural and Subdural are characterised by a lucid interval. The lucid interval for Subdural will be longer because the haemorrhage is from a venous source (lower pressure).
hey mate love your videos. i was under the impression that epidural haematomas are indicative of a initial LOC followed by a lucid interval and later a rapid decline in consciousness; dilated/sluggish pupil and contralateral hemiparesis
Really nice presentation 👌 Sometimes an intracranial haemorrhage can be so discrete that we really need to search for the right finding based on the symptoms. The next day the whole thing could triple in size... Thanks for the video :)
Very good video. But I though epidural hemorrhaging resulted in brief loss of consciousness, lucid interval, then rapid deterioratation. And that, subdural presented as slowly building up, and progression of ICP taking days to weeks. But it did sound like you said they can both present like that
Thanks for the content. Did you ever remember what the additional sign/symptom is for subarachnoid bleed? My google search did not reveal anything outside of what you mentioned
so if someone was assaulted and approximately a month later started having loss of balance and a brain bleed and seizures with slight numbing in the toe what would you diagnose it as
Pray to GOD to heal and wake him if he's unconscious. My sister had a hemorrhage brain stem stroke, December 5, 2022. I've been praying same for my sister 🙏
Another haemorrhage that causes intraventricular haemorrhages (IVH) is a germinal matrix haemorrhage, which if then the bleeding extends into the ventricles becomes an intraventricular haemorrhage. This happening is known collectively as a germinal matrix-intraventricular haemorrhage (GM-IVH).
urm. hope this doesn't sound impolite. but it would be better appreciated if you please added corrections to your video by adding a speech bubble or something. i would've lost marks had i not remembered correctly about epidural hematoma causing the lucid interval and not subdural.
There’s also ventricular hemorrhage thaat doesn’t have to be secondary. There’s patients with hydrocephalus and pseudo tumor cerebri (like me) who have VP shunts that can cause random bleeding or shift and cause bleeding. Or ones that have a tumor and it compresses the ventricle and bleeding can occur. Not all cases are put in articles or studies or journals etc. I have had 7 LP shunts now a VP Shunt and also Chiari Decompression surgery and Spinal Cord Decompression.
What is the supply of the blood for intracerebral haemorrhage? Is it also the cerebral arteries? If so how does that mean the difference between a subarachnoid and intracerebral haemorrhage is simply the location of the rupture and not the source of blood?
My niece recently died of a brain hemorrhage. Her mom and I were with her. She said she was getting a headache just before we were getting in the car for about an hour ride. She took an advil, walked to the car and got in. About 5 minutes down the road, she said the headache had gotten worse. But she leaned back in her seat, closed her eyes and tried to get comfortable. Next time I looked back she was snoring. I thought nothing of it, she was 30 years old and had a headache. When we got to where we were going, we couldn't wake her up. We patted her cheeks, and her hand would brush her face and rub her cheek. The EMTs arrived and her vitals were fine and her eyes reacted they said. They loaded her up and took her to the hospital, which was only about a 3 to 5 minute trip. We followed, still not really alarmed yet, thinking this was some kind of seizure or episode. Once there they did a cat scan and nearly immediately told us she was critical with a brain hemorrhage. They called a neurosurgeon in, but it took about 2 or 3 hours. By that time, they told us surgery was unlikely to be successful. Her brain had been pushed across the mid line, and she'd shortly be declared brain dead. They said it was a bridging vein tear, but found no evidence of trauma. We haven't gotten the autopsy back yet, but we've lived every day of the last month wondering if we missed the signs, other then headache, and if we could have done things differently. We feel so bad having been in the car with her, knowing later she was in distress, and us just thinking she was napping. What 30 year old dies from a headache??? We had plenty of doctors tell us there was nothing we could have done, even as soon as we got in the car. But that feeling will never ever go away for my sister and I. Never.
I had a black out in 1997 and then I had 2 blackouts in 2016 and I haven't been the same since and I have 5 Legions and a small brain tumor and I have been under so much stress my brain has become smaller, and I feel off the school bus at the age of 7 and my brain has been through a lot and I can't take anymore stress and thank god I can do what I want and not work anymore! I hate having stress and its being around toxic people in Northern VA and this area stresses me out and I need to be some place else. I really hope I die soon from a brain stroke very soon. My headaches feel like someone pushing on my head. I do remember hitting my head on a lap post when I was trying to get to the bus.
My mom had aneurysm which broke and cause a huge hematoma between her brain and skull. She was barely saved by two doctors which came from their vacation to perform two surgeries on her. They are the only reason she is alive and I am forever thankful to them.
They are the real God & these real stories should be in our scriptures now.
Name of those doctors please
You must be from a well connected or rich family. We normal people don't get that special treatment. Hell we should be lucky if the doctor even runs some tests and doesn't call us crazy
How can someone explain so perfectly and draw so great!??
Dear, Dr Najeeb is best
Dear, Dr Najeeb is best
JOEL OKUWAPE yes ,truth
Follow @medspace on instagram for easy notes of ICH
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He’s hacking
one important difference between epidural and subdural haemorrhage is that, for epidural haemorrhage, patients usually manifest short period of loss of consciousness, and then the patient will wake up for a brief moment before passing out again. This is because epidural haemorrhage is an arterial haemorrhage as the video suggested, the initial haemorrhage was rapid, but shortly after the brain will adjust but then lossing too much blood will bring unconsciousness again.
Thank you❤️❤️
Very true. As the video suggests, Lucid interval can be seen in subdural haemorrhage too but relatively less common as compared to Epidural
correction : epidural/extradural hemmorhage causes lucid interval and then coma. Not subdural
that is correct
Isolated form of subdural hematoma causes lucid interval too, excepted the form that mixed with brain alteration.
Legs mo
Yes it's epidural hemorrhage not sub dural
both epidural and subdural may have lucid interval stage.
Did I tell you, you saved me in the physiology exams 3 years back, and now you'll save me in medicine too! 🥺
ARMANDO THANK YOU FOR TAKING TIME TO CREATE THIS VIDEO IN A WAY THAT IS EASY TO UNDERSTAND...I LOST MY BROTHER "MIKEE",33, A MONTH AGO APRIL 16TH IN A MOTORCYCLE ACCIDENT & TRAMAUTIC BRAIN INJURY, & WAS ALMOST BRAIN DEAD, ON LIFE SUPPORT FOR 4 DAYS. THANK YOU FOR ALLOWING MY MOM & I TO HAVE CLARITY ON WHAT SOME OF THE DOCTORS COMPLEX VERBAGE REALLY MEANT.
(& ur Drawings are superb! My brother was an artist too!)
Thanks Armando. I always love the clarity of your videos. You make it simple yet informative. More grace!
Thanks Armando. Informative yet again.You make it sound so simple
Brilliant video. I survived a Subarachnoid Haemorrhage 8 months ago. Had 2 seizures at onset..loss of feeling below waist, extreme headache, throwing up constantly (even for days after surgery) extreme photophobia (i still have a degree of this now, lights bother me)..
I really liked your clear explanation and drawings...made it very clear for me to understand what happened. Thank you
Excellent...i wish everyone in medical field had teachers like you... 👍👍
I've just discovered your channel. Your videos are incredibly helpful and I will definitely be linking others to you as a resource!
Follow @medspace on instagram for easy notes of ICH
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6:05 triad of meningismus..... nuchal rigidity, photophobia, headache
Great explanation brother ... proud of u... very informative.... keep up the great job 😉👍🏻👍🏻
Lucid intervals are ONLY found in epidural or extradural bleeds. Never subdural.
Also, while it's correct that epidural bleeds are caused by trauma and skull fractures that injure the middle cerebral artery, subdural bleeds do NOT have the same causes. Subdural bleeds are chronic bleeds that occur in the bridging veins over periods of hours or days, even weeks; usually in elderly and often in alcoholics, presentig with progressively worsening confusion.
Subdural bleeding can definitely be acute as well due to trauma, it's not always a chronic process!
a lucid interval is a temporary improvement in a patient's condition after a traumatic brain injury, after which the condition deteriorates. A lucid interval is especially indicative of an epidural hematoma.
You are an legend man .
Tomorrow is my surgery exam and i need to study this topic.
Now I can skip this topic after watching your video.
Thanks a lot :)
I though you played football man, but it's great to know you changed into medicine
Blink Bling money CAN do anything!
Excellent illustration done !!!!
I just want to give you more than one like 🥹😍❤️ You cannot imagine how I’m feeling now after watching your video ❤🎉 It’s the first time and I got all the concepts 🎉🫂 Keep doing it please ❤ so much love ❤️🥰😍
Please mention treatment and investigations too
Great video
this is awonderful vedio ,the first time i see like that excellent illustration by this simple method
dude ur videos r life changing, tnx......Meningismus=Fever,Headache,Neck stiffness
Just to clarify: EXTRADURAL/EPIDURAL causes LUCID INTERVAL. NOT Subdural
subdural can have lucid interval as well
Great Video, So clear! Love it
It is also possible for multiple haemorrhages to occur both outside and within the brain tissue in cases of severe head trauma and it’s also one of the main factors behind the deaths of victims who have suffered one punch attacks as multiple haemorrhages occurring simultaneously will mostly result in critical neurological damage or complete brain death. The brain crashing into the skull as a result of severe head trauma can not only cause brushing but can also result in haemorrhages occurring within the brain tissue near the point of impact with the skull internally.
Very informative. Excellent explanation 👌 👏 Thanks brother
this guy is quite the artist
Did you forget about amyloid angyopathy? on intracerebral hemorrhage causes (lobar hemorrhage)
Armando, you're the man! Thank you for your videos.
Excellent tutorial thankyou, well done
aabsolutely great vedios for an onspot review of a topic... thankyou so much armando
I'm gonna be a great doctor, but never forget you are making me as ur drawing
"aaaand another thing which i... cannot remember!" hahahahahaha dude I never thought Id hear this phrase from u
You style is so great men 🙏
Both Epidural and Subdural are characterised by a lucid interval. The lucid interval for Subdural will be longer because the haemorrhage is from a venous source (lower pressure).
hey mate love your videos. i was under the impression that epidural haematomas are indicative of a initial LOC followed by a lucid interval and later a rapid decline in consciousness; dilated/sluggish pupil and contralateral hemiparesis
Yes! 🤔
Wonderful explanation, thanks
Incredibly helpful, thank you!
Follow @medspace on instagram for easy notes of ICH
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A lucid interval is especially indicative of an epidural hematoma. Subdural hematomas are classically crescent-shaped.
Great videos man.
amazing videos, please add the ischemic strokes too :)
Really nice presentation 👌 Sometimes an intracranial haemorrhage can be so discrete that we really need to search for the right finding based on the symptoms. The next day the whole thing could triple in size...
Thanks for the video :)
what a beautiful drawing and great explanation^^ thank you sir
Follow @medspace on instagram for easy notes of ICH
instagram.com/p/CG5dNGblZ7f/?igshid=vim7qyfvejpn
Such an informative video. Thanks a lot
As usual always enjoy this videos
I really like this, explains so well
Very helpful video
Good explanation
Good vid man
Triad includes headache, stiffness and photo phobia without meningeal inflammation or infection
Small correction epidural hemorrhage can cause aphasia not aphagia... Nice video
thanx armando...gud informative videos
Super helpful, thanks 😊 🙏
Very helpful....thank u mate.
Thanks. Useful video
SO COOL & HELPFUL SIR....
Very good video. But I though epidural hemorrhaging resulted in brief loss of consciousness, lucid interval, then rapid deterioratation. And that, subdural presented as slowly building up, and progression of ICP taking days to weeks. But it did sound like you said they can both present like that
dude you are awesome, thank so much
Thanks for the content. Did you ever remember what the additional sign/symptom is for subarachnoid bleed? My google search did not reveal anything outside of what you mentioned
Awesome presentation
Follow @medspace on instagram for easy notes of ICH
instagram.com/p/CG5dNGblZ7f/?igshid=vim7qyfvejpn
good video!
so if someone was assaulted and approximately a month later started having loss of balance and a brain bleed and seizures with slight numbing in the toe what would you diagnose it as
In malaysia during this pandemic.. 2 student died from internal bleeding that cause from stress(which is the blood pressure increase)
Positive meningeal sings is third thing :) lifting straight legs causes bending in spine
You should do a video on the biology of autism
the lucid interval is in the epidural not the subdural
Thank you! I really need this right now. My son's head hited the wall super very hard. I'm not sure what to do!
Pray to GOD to heal and wake him if he's unconscious. My sister had a hemorrhage brain stem stroke, December 5, 2022. I've been praying same for my sister 🙏
Another haemorrhage that causes intraventricular haemorrhages (IVH) is a germinal matrix haemorrhage, which if then the bleeding extends into the ventricles becomes an intraventricular haemorrhage. This happening is known collectively as a germinal matrix-intraventricular haemorrhage (GM-IVH).
You are the one❤️
Love this!!!
thanks a million !
you are a god!!!🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻 please make more videos..Thank you
You are AWESOME!!!!!!!!!!!!!!!!!
Thank you!
Do they feel anything on the spot?? I mean besides the symptoms, is it possible to feel the artery tearing?
Thank you very much sir
I thought epidural classically caused the "lucid interval"
i agree
yup, it is epidural that has the lucid interval
since i see the mistake, i stop the video and see the comments. and im not the only one who notice...
Both Epidural and Subdural hemorrhages can cause lucid interval guys :)
epidural haemorrage usually cuases lucid interval, subdural haemorrhae howere has a high chance or rebleeds
urm. hope this doesn't sound impolite. but it would be better appreciated if you please added corrections to your video by adding a speech bubble or something. i would've lost marks had i not remembered correctly about epidural hematoma causing the lucid interval and not subdural.
Good one 👍 thank you
There’s also ventricular hemorrhage thaat doesn’t have to be secondary. There’s patients with hydrocephalus and pseudo tumor cerebri (like me) who have VP shunts that can cause random bleeding or shift and cause bleeding. Or ones that have a tumor and it compresses the ventricle and bleeding can occur. Not all cases are put in articles or studies or journals etc. I have had 7 LP shunts now a VP Shunt and also Chiari Decompression surgery and Spinal Cord Decompression.
Frieda Shigwedha why does a stranger need to know that
i have survived a sah and ich from a motorcycle accident wouldn't wish it on my worst enemy
You are a genius!!!
What is the supply of the blood for intracerebral haemorrhage? Is it also the cerebral arteries? If so how does that mean the difference between a subarachnoid and intracerebral haemorrhage is simply the location of the rupture and not the source of blood?
thank you sir❤️
Thank you so much 👍🙏🌺
You are GREAT
Sir..plss described haemorrhage pathophysiology only
Superb❤
Awesome thanks
My niece recently died of a brain hemorrhage. Her mom and I were with her. She said she was getting a headache just before we were getting in the car for about an hour ride. She took an advil, walked to the car and got in. About 5 minutes down the road, she said the headache had gotten worse. But she leaned back in her seat, closed her eyes and tried to get comfortable. Next time I looked back she was snoring. I thought nothing of it, she was 30 years old and had a headache. When we got to where we were going, we couldn't wake her up. We patted her cheeks, and her hand would brush her face and rub her cheek. The EMTs arrived and her vitals were fine and her eyes reacted they said. They loaded her up and took her to the hospital, which was only about a 3 to 5 minute trip. We followed, still not really alarmed yet, thinking this was some kind of seizure or episode. Once there they did a cat scan and nearly immediately told us she was critical with a brain hemorrhage. They called a neurosurgeon in, but it took about 2 or 3 hours. By that time, they told us surgery was unlikely to be successful. Her brain had been pushed across the mid line, and she'd shortly be declared brain dead. They said it was a bridging vein tear, but found no evidence of trauma. We haven't gotten the autopsy back yet, but we've lived every day of the last month wondering if we missed the signs, other then headache, and if we could have done things differently. We feel so bad having been in the car with her, knowing later she was in distress, and us just thinking she was napping. What 30 year old dies from a headache??? We had plenty of doctors tell us there was nothing we could have done, even as soon as we got in the car. But that feeling will never ever go away for my sister and I. Never.
I am sorry for your loss 🙏
Hi can colloid cyst of the third ventricle cause acutely raised intracranial pressure X
Lucid interval occurs for epidural hem not subdural.
Thank you
hi .your are excellent ,thanks for all video.....i need herniation brain video....plz help me ....and with your nice video teach me them ,.thanks
Excellent
thank u so much
I had a black out in 1997 and then I had 2 blackouts in 2016 and I haven't been the same since and I have 5 Legions and a small brain tumor and I have been under so much stress my brain has become smaller, and I feel off the school bus at the age of 7 and my brain has been through a lot and I can't take anymore stress and thank god I can do what I want and not work anymore!
I hate having stress and its being around toxic people in Northern VA and this area stresses me out and I need to be some place else. I really hope I die soon from a brain stroke very soon. My headaches feel like someone pushing on my head. I do remember hitting my head on a lap post when I was trying to get to the bus.
May Allah bless you with good health...you are at critical stage how are listening these lectures??..nd why??
💓🙏
I pray you're okay and have a change of ❤.
thank you
have you done anything on genetics?? thanks
Perfect thanx💕💕💕💕
Awesome!!
Is lucid interval present in epidural or subdural??which is common?