Thalamic Hemorrhage In Brain ( CT Scan Images )

Introduction : 

Thalamic haemorrhage is also called the intracerebral hemorrhage, it occurs mostly due to uncontrolled hypertension.

Symptoms of Thalamic Hemorrhage  : 

• Paralysis of upper limbs
• Mild consciousness
• Small pupils and lack of light pupilary response
• disorientation
• Visual hallucinations
• aphasia
• Memory deficits

Causes of Thalamic Hemorrhage  :

• Poor control of hypertension
• Vascular malformations ( Aneurysm)
• Hematological Disorders
• Usage of anticoagulation
• Usage of antiplatelets

What are the Types of Thalamic Hemorrhages :

Anterolateral :

Anterolateral thalamic hemorrhage cause severe motor and sensory deficits, on the left side, language disturbance.

Medial : 

Medical Thalamic Hemorrhage is associated with gaze palasy and severe motor/sensory issues.

Posterolateral :

Posterolateral Thalamic Hemorrhage associated with sensorimotor deficits.

Dorsal :

Dorsal Thalamic Hemorrhage associated with temporary, sensory and motor issues.

Diagnostic Tests : 

CT 

Thalamic haemorrhage is easily recognisable on CT as hyperdensity with in the thalamus.

Haematoma expansion we can observe in the below image. this is the common finding in the CT.

MRI

The visibility of haemorrhage on MRI changes as the time moves on size of the haemorrhage increase.

Image : 01 : Thalamic Hemorrhage

Thalamic Hemorrhage : The middle of part white round colored area is shows a bleed in thalamic area of the Brain.

Image : 02 : Distance Of Thalamic Bleed 

Image : 02 : This image shows the distance of thalamic bleed occupied. 

Image : 03 : Thalamic Hemorrhages 

Image : 03 : The images of CT scan shows that thalamic bleed in the brain.

Treatment :

The neurologist advises the treatment as per the condition.

Nursing Responsibilities for Thalamic Hemorrhage : 

• The Nursing Responsibilities during Thalamic hemorrhage monitor the vitals continuous every 15 minutes or 30 minutes or 1 hours.
• Monitor Intake out put 
• Continuous monitor for any hemorrhages through ears, nose, mouth.
• Maintain the adequate oxygen levels.