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CBS/ May 13, 2010, 1:16 PM

Uphill Battle for Bret Michaels' Full Recovery

The High Park fire burns in Poudre Canyon, as seen from Glacier View Meadows, west of Fort Collins, Colo. on Tuesday, June 12, 2012. The fire has now burned more than 40,000 acres encompassing more than 65 square miles. (AP Photo/The Denver Post, Aaron Ontiveroz) MAGS OUT; TV OUT; INTERNET OUT

The High Park fire burns in Poudre Canyon, as seen from Glacier View Meadows, west of Fort Collins, Colo. on Tuesday, June 12, 2012. The fire has now burned more than 40,000 acres encompassing more than 65 square miles. (AP Photo/The Denver Post, Aaron Ontiveroz) MAGS OUT; TV OUT; INTERNET OUT / Aaron Ontiveroz

After suffering a major brain hemorrhage last week, 47-year old rock singer and reality TV star Bret Michaels is showing signs of recovery.

According to his website, his doctors say he is still in critical but stable condition in the Intensive Care Unit.

Michaels had a subarachnoid hemorrhage, which causes bleeding in the area between the brain and the thin tissues that cover the brain. As a result of the hemorrhage, he has also developed hyponatremia, which causes seizures.

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A statement posted Tuesday on the former Poison frontman's website called Tuesday's news of the additional ailment a "minor setback," but said doctors remain hopeful for a full recovery. However, according to Michaels' publicist, recovery could take weeks or even months.

Michaels, a contestant on "The Celebrity Apprentice," was rushed to the hospital on Friday with a severe headache.

On "The Early Show" Wednesday, CBS News Medical Correspondent Dr. Jennifer Ashton said the former host of VH1's "Rock of Love" experienced what's called a "thunderclap."

Ashton explained a thunderclap is also known as a "WHOL," or worst headache of life.

"It's like a light switch goes off. All of a sudden patients complain of severe, excruciating pain and they will actually come into the emergency room and say, 'This is the worst headache of my life.' That to a doctor triggers, 'We'd better (consider) bleeding in the brain,' and typically that type of bleeding comes from an artery, so high-pressure blood bursts in part of the brain and causes this severe, severe headache."

Ashton said the pain is much worse than a migraine: "It's not subtle."

She added the pain is usually accompanied by nausea, vomiting, a stiff neck and/or difficulty speaking or vision problems or changes in how the pupils appear.

But why did this happen to Michaels? Could his hard life as a rocker contributed to his current state?

Ashton said there are a plethora of causes of a brain hemorrhage. For this type of bleed, she said, diabetes is the most common one. She said people with diabetes are three-to-four times more likely to suffer bleeding in the brain. Head injuries could be another factor, but Ashton said the type of injury he sustained while performing last year -- a broken nose from a piece of a set falling on him -- isn't likely to be the cause. Instead, she said, sudden injuries or sudden blows to the head, such as injuries in a car accident, are more likely in some cases. She added cocaine and heavy alcohol use will also cause the brain to hemorrhage.

When it comes to recovery, Ashton said several factors come into play, such as age, general health, and extent and location of the bleeding in the brain: "Different areas of the brain control different functions in terms of speech, memory, motor movement, and all of that is very important in developing a prognosis."

As for Michaels' additional condition, hyponatremia -- low sodium in the blood -- Ashton said it's very expected after a brain hemorrhage.

"We know that when there's swelling, bleeding, injury to the brain, the brain is what regulates all of our bodily functions. Multiple organ systems take their cue from how the brain is doing. When the brain is impaired, you typically will see an impairment in electrolyte levels, things like your body's regulation of sodium. And low sodium in the blood, just like high sodium levels can cause seizures."

This seizure disorder isn't for life, Ashton said. It will only last until the body corrects the imbalance. She said doctors will likely give Michaels steroids to control swelling and correct his sodium levels to get the seizures under control.

Going forward, Ashton said the prognosis for people with his type of hemorrhage -- even in a young person -- is poor. She said even with significant rehabilitation, most people do not regain their full capacity. "They always have some degree of deficit," she said.
Copyright 2010 CBS. All rights reserved.
11 Comments Add a Comment
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buzzledoo says:
Isn't that a bit prejudiced to state that cocaine and alcohol use could cause the brain to hemmorage. It seems like it's an insult and implies that Bret uses cocaine and alcohol. I have never heard that before about cocaine and alcohol. I don't condone using either whatsoever but for them to mention it in the article seems to be accusatory. I hope he gets well soon. He's very pretty for a guy.
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smallscaper replies:
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Isn't that a bit ignorant to state that Dr. Jennifer Ashton would make that up to embarrass your hero? She stated that it's common to see this kind of hemorrhage in diabetics, cocaine abusers and alcohol abusers. We know he's a diabetic...the rest is speculation, but we do know he is a big drinker from seeing it on his own reality shows. The cocaine part may or may not apply. Don't blindly indulge your hero-worshiping at the expense of the truth.
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cartersharon says:
it is really a good news for all of us after listening Bret Michael recover from a brain hemorrhage suffered last week is going well

http://www.goarticles.com/cgi-bin/showa.cgi?C=2256604
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bobnjersey says:
[Ashton said there are a plethora of causes of a brain hemorrhage. For this type of bleed, she said, diabetes is the most common one. She said people with diabetes are three-to-four times more likely to suffer bleeding in the brain.]

i thought i recall from some historical interview w/ him that he in fact does have diabetes. the story doesn't seem to make any reference to this other this general cause-effect association above.
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francescopa says:
I wish you good luck,you`ll make it.we love you.
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HealthNutCase says:
I suspected Bret's rock and roll lifestyle might be a contributor to his current medical condition. I never thought about his trademark bandanna. I found this blog posting that outlines the four leading causes of subarachnoid Hemorrhages. <a href="http://www.itriagehealth.com/health-blog/subarachnoid-hemorrhage:--four-leading-causes">http://www.itriagehealth.com/health-blog/subarachnoid-hemorrhage:--four-leading-causes</a> Very interesting.
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expo53 says:
Bret , I wish you luck I know you can fully recover from this brain injury.I myself has a brain aneurysm back in 2005 I was 48 I'am now 53 and very good health.I had multiple platinum coils placed in the aneurysm on the left side.I was in a coma from June 24 until July 22 I only had a 10% chance to live and I fully recovered with no side affects.
Best Regards
Bernie Exposito
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carols62 says:
Dear Bret,

I'm writing you this to say hang in there and get well. I know that you can do it. Back in 1997 I had a CVA which left me paralyzed through my whole body, even my eyes were paralyzed to the wall. Couldn't walk, talk, eat....I pretty much couldn't do anything for myself. They gave me 3 1/2 weeks to live and they said that if I would live that I would be a vegetable all my life and wouldn't be able to walk again. But in the grace of God I'm still here after 13 years later. I can walk and talk, but my left arm is still paralyzed. Other than that I'm doing really good. So all that I have to say is hang in there and God Bless You. God will bring you back to good health. In the mean time I will be praying for you.

Much love,

Carol
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thesevenveils says:
Do you suppose the brain hemorrhage is due to him wearing his bandanna too tight around his cranium?
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alancontact replies:
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Wow, that was dumb.
mari1963 replies:
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he wears the bandana to hide the fact that he HAS NO HAIR! The hair is fake !
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