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Soccer Injuries

Former Manchester United boss Sir Alex Ferguson suffers brain hemorrhage

Ronnie Mimran M.D.

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© Orlando Ramirez-USA TODAY Sports

Former Manchester United boss Sir Alex Ferguson has been hospitalized after suffering an Intracerebral hemorrhage or ICH. Strokes come in two varieties, hemorrhagic or ischemic. One is when a blood vessel bursts, and the other is when a blood vessel is blocked by a clot or embolus.

Damage occurs with ICH from two mechanisms. Mechanism 1 is when the blood vessel bursts, there’s an area of the brain not getting blood from the burst vessel. Mechanism 2 is the extruded blood forms a hematoma which causes mass effect on the surrounding brain.

Surgery is usually a craniotomy to remove the hematoma. A portion of the skull is removed, the dura is opened, and a small incision is made in the cortex. The hematoma is evacuated with suction. Note this only helps mechanism 2, there’s nothing to do about mechanism 1.

Prognosis depends on location (which area of the brain, which side of the brain) and size of the hematoma and damage to surrounding brain.

Dr. Mimran is board certified in neurosurgery by the American Board of Neurological Surgery. His practice focuses on surgical and non-surgical treatment of brain and spine disorders, with an emphasis on minimally invasive and image-guided techniques for the spine. He has a broad experience with the neurosurgical care of the injured athlete and serves as a consultant for multiple different professional sports teams. Dr. Mimran received his BS in physiology from the University of California, Los Angeles, and his medical training at the University of Southern California, where he graduated with honors. He completed a residency in neurological surgery at the University of Florida. along with a clinical fellowship in minimally invasive spine surgery. Following his neurosurgical residency, Dr. Mimran moved to the Bay Area and joined the team at Pacific Brain and Spine Medical Group, in Danville, California. Dr. Mimran has received numerous awards and honors, earning the Patients’ Choice Award for seven consecutive years, and gaining recognition as a five-year honoree of the Compassionate Doctor Award, among others. He is also a leading educator in the field of minimally invasive spine surgery and navigated spine surgery, and has taught over 200 courses worldwide.

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