Intracerebral Hemorrhage

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Intracerebral hemorrhage is a general term that defines an accumulation of blood anywhere in the brain. ICH does not necessarily imply the cause of bleeding. Typically non-traumatic sources include vascular malformations, aneurysms, blood clotting disorders, including those on blood thinners, tumors, and vascular disease resulting from high blood pressure. Surgical evacuation may be indicated for accessible hematomas in those with a declining level of consciousness once any alteration in blood clotting is corrected.

Axial CT reveals a sizable right basal ganglia intracerebral hemorrhage secondary to long-standing untreated hypertension.

Figure 1
Axial CT reveals a sizable right basal ganglia intracerebral hemorrhage secondary to long-standing untreated hypertension. Midline indicated by black line bisecting cranium measurement of midline shift indicated (red arrow).

Frequently Asked Questions (FAQs) About Intracerebral Hemorrhage

What causes intracerebral hemorrhage?

Non-traumatic causes include vascular malformations, aneurysms, blood clotting disorders (including blood thinners), tumors, and vascular disease related to high blood pressure.

Is surgery always needed for intracerebral hemorrhage?

Not always. Surgical evacuation may be recommended for accessible hematomas in patients with a declining level of consciousness, once any clotting abnormality has been corrected.

What are the symptoms of an intracerebral hemorrhage?

Symptoms of an intracerebral hemorrhage can develop suddenly and vary depending on the location and extent of bleeding in the brain. They may include sudden severe headache, weakness or numbness on one side of the body, difficulty speaking or understanding speech, vision changes, loss of balance or coordination, nausea or vomiting, confusion, seizures, or loss of consciousness.

An intracerebral hemorrhage is a medical emergency. Anyone experiencing sudden neurological symptoms should seek emergency medical attention immediately.

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