Intracerebral hemorrhage
| Intracerebral hemorrhage | |
|---|---|
| CT scan of an intracerebral hemorrhage, bleeding into the lateral ventricles | |
| Medical specialty | Neurosurgery |
| Symptoms | Headache, one-sided numbness, weakness, tingling, or paralysis, speech problems, vision or hearing problems, dizziness or lightheadedness or vertigo, nausea/vomiting, seizures, decreased level or total loss of consciousness, neck stiffness, memory loss, attention and coordination problems, balance problems, fever, shortness of breath (when bleed is in the brain stem) |
| Complications | Coma, persistent vegetative state, cardiac arrest (when bleeding is severe or in the brain stem), death |
| Causes | Brain trauma, aneurysms, arteriovenous malformations, brain tumors, hemorrhagic conversion of ischemic stroke |
| Risk factors | High blood pressure, diabetes, high cholesterol, amyloidosis, alcoholism, low cholesterol, blood thinners, cocaine use |
| Diagnostic method | CT scan |
| Differential diagnosis | Ischemic stroke |
| Treatment | Blood pressure control, surgery, ventricular drain |
| Prognosis | 20% good outcome |
| Frequency | 2.5 per 10,000 people a year |
| Deaths | 44% die within one month |
Intracerebral hemorrhage (ICH), also known as cerebral bleed, is a type of intracranial bleed that happens within the brain tissue or ventricles.[1]
Symptoms can include headache, one-sided weakness, vomiting, seizures, decreased level of consciousness, and neck stiffness. Often symptoms get worse over time. Fever is also common. In many cases bleeding is present in both the brain tissue and the ventricles.
Causes include brain trauma, aneurysms, arteriovenous malformations, and brain tumors.
References
- ↑ Naidich, Thomas P.; Castillo, Mauricio; Cha, Soonmee; Smirniotopoulos, James G. (2012). Imaging of the Brain, Expert Radiology Series,1: Imaging of the Brain. Elsevier Health Sciences. p. 387. ISBN 978-1416050094. Archived from the original on 2016-10-02.