Neurosurgeon Prof. Dr. Erdal Coşkun on Metropol TV, Prof. Dr. He was a guest of the Metropol Health Program prepared and presented by Bülent Topuz. prof. Coşkun gave information about the causes, diagnosis and treatments of cerebral hemorrhage in the program.
Coşkun stated that the skull is a closed box, that a man weighing 70 kilograms on average has a 1,450-gram brain inside the skull, 150 CC of it is water, and three percent of it is blood. There is a pre-circulation of the brain. There is an after circulation. It has a flexible structure in the veins, but when you smoke or have diabetes, atherosclerosis can occur. The vein hardens and the elasticity of the hardened vein decreases. As its elasticity decreases, the current in it slows down. When this flow slows down, a clot forms from the heart or neck veins, sometimes due to a rhythm disorder in the heart, sometimes due to a decrease or increase in the sugar of the person, and sometimes the blood pressure rises above 180’s. Something like this can happen to any of us. We should not run away from life, and when patients come, I always say, will we fight or give up?”
“We Do Angios For The Incidents In Our Stroke Center”
Stating that they can make an angiography in the Stroke Center if bleeding events occur within 6-10 hours, they can open that vessel, Neurosurgery Specialist Prof. Dr. Erdal Coşkun said, “We go from the groin to the closed vein to perform angiography, and here we have to have an MRI done first. You have to be very fast. There are two types of vein opening systems. In one, you give the dose through the surrounding veins. Let’s assume that 200 thousand units are given, but if you go and do an angiography on that vein, you see that vein itself. You can open it with a lot of methods by mechanically pulling the inside of it with a vacuum and giving medicine.”
He Mentioned the Events Treated for Edema
Giving information about the vascular system in the brain, Prof. Dr. Erdal Coşkun said, “There is an ischemia center in the brain. There is a texture around this center. We call that tissue phenomra, so there is a normal texture around it, which is fighting in the middle, as well as leaving. There is a self-regulation center in the brain. In other words, if blood does not go from one place to another, blood goes from another place to that place. Occluded veins have multiple end veins, end veins have no collector. Bleeding is just as much tissue that died at that time, so toxic tissue is formed. So imagine that a cell dies. The cell has watcher systems. This cell has a membrane that keeps it alive. The wall of a dwelling is like the wall of a castle. After a while, the cell swells, breaks down, and the elements that come out of disintegration attack other cells. Those who leave there go to other cells. If we can’t do this treatment full time, the tissues around the center, called penumla, are gone too. After that, the brain begins to swell. If I were to give an example of things that cause brain swelling, for example, it could be high blood sugar. For example, there is pulse atrial fibrillation. This clot continues to beat. Other small vessels are blocked or hypertension, blood pressure rises above 180 and stays there, the brain swells. He talked about the forms of treatment applied in the form of “we treat edema in the face of these situations”. (BSHA – Science and Health News Agency)
