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Can crying cause a brain hemorrhage?

Published in Neurology 2 mins read

Yes, crying, particularly if it leads to hyperventilation, can potentially trigger a spontaneous epidural hematoma (EDH), a type of brain hemorrhage, although it's rare.

While crying itself isn't a direct cause, the associated physiological changes might contribute to a hemorrhage in susceptible individuals. The reference suggests that crying or hyperventilation could be a trigger.

Here's a breakdown:

  • Hyperventilation: Excessive crying can lead to hyperventilation, which involves rapid and deep breathing. This can cause changes in blood flow and pressure within the brain.

  • Increased Intracranial Pressure: The physiological strain from intense crying or hyperventilation can potentially increase intracranial pressure (pressure inside the skull).

  • Spontaneous Epidural Hematoma (EDH): While rare, spontaneous EDH can occur, and the reference suggests that crying or hyperventilation could be a triggering factor. EDH is a collection of blood between the skull and the dura mater (outermost membrane surrounding the brain).

  • Underlying Conditions: It's more likely that crying would only trigger a hemorrhage in individuals with pre-existing vulnerabilities, such as weakened blood vessels or other underlying medical conditions that predispose them to bleeding.

Important Considerations:

  • The link between crying and brain hemorrhage is rare.
  • The reference highlights that early diagnosis and surgical decompression result in an excellent prognosis.
  • Persistent headaches and signs of increased intracranial pressure following intense crying should be medically evaluated.

In summary, while crying rarely directly causes a brain hemorrhage, the associated physiological changes like hyperventilation and increased intracranial pressure may trigger one, especially in individuals with predisposing factors. Immediate medical attention is crucial if symptoms like severe headaches or neurological issues arise after intense crying.

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