intracerebral hemorrhage

Intracerebral hemorrhage

A cause of some strokes in which vessels within the brain begin bleeding.

Mentioned in: Stroke

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intracerebral hemorrhage (ICH),

a type of hemorrhagic stroke in which bleeding directly into the brain occurs. It is most often caused by hypertension and is associated with increased intracranial pressure. ICH usually occurs in the basal ganglia, thalamus, pons, and cerebral and cerebellar white matter.

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Intracerebral hemorrhage

Intracranial hemorrhage, thalamic hemorrhage Neurology Hemorrhage in the brain, often cause by hypertensive small vessel disease Locations Lobar or deep–affecting the thalamus, basal ganglia, pons, cerebellum Etiology Trauma, vascular defects–aneurysm, hemangioma, HTN, idiopathic Pathophysiology Cerebral edema and hematoma result in ↑ intracranial pressure with destruction of brain tissue Clinical Sx are usually abrupt and occur without warning, often during activity, less commonly develop in a stepwise, episodic manner or progressive manner Risk factors DIC, hemophilia, sickle cell anemia, leukemia, thrombocytopenia, aspirin, anticoagulants, thrombolytics, liver disease, cerebral amyloid, brain tumors, prematurity–associated with intra-ventricular hemorrhage, which may result in severe disability Diagnosis Ultrasound, CT, MRI Management Surgical evacuation. See Hemorrhage. Cf Hemorrhagic stroke.