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Intracerebral Haemorrhage

Intracerebral haemorrhage is a kind of stroke caused by bursting of a blood vessel leading to leakage of blood within the brain tissue. It is a life threatening situation that suddenly increases the pressure within the brain and damages brain cells. The brain becomes deprived of oxygen due to an interruption of its blood supply leading to unconsciousness or death.

intracerebral hemorrahage

intracerebral hemorrahage

Causes of Intracerebral hemorrhage
The most common causes of intracerebral haemorrhage are the following:
1) Hypertension
2) Arteriovenous malformations and other abnormalities in blood vessels
3) Head trauma or injury
4) Infections
5) Brain tumors
6) Blood clotting deficiencies like hemophilia, sickle cell anemia etc.
7) Ruptured cerebral aneurysm
8) Overuse of blood thinners
9) Drug addiction especially cocaine

Symptoms of Intracerebral haemorrhage
Symptoms usually appear suddenly during ICH and include the following:
1) Sudden & severe headache
2) Sudden weakness
3) Tingling in the face, arm, or leg
4) Confusion
5) Loss of consciousness
6) Difficulty in swallowing
7) Trouble with vision in one or both eyes
8) Loss of balance and coordination
9) Dizziness, lethargy and sleepiness
10) Difficulty reading, writing, speaking and understanding
11) Nausea & vomiting
12) Seizures
13) Paralysis, particularly on one side of the body

How it occurs?
The thin walled arteries in the brain break due to high blood pressure and blood spreads into the brain tissue. This blood forms a clot called hematoma. The hematoma grows slowly and exerts pressure on the surrounding brain tissues. The brain becomes deprived of oxygen due to an interruption of its blood supply leading to unconsciousness or death. Intracerebral hemorrhage takes place on the surface or in deep areas of the brain.

Diagnosis of Intracerebral Hemorrhage
Intracerebral haemorrhage is an emergency condition that requires immediate medical care. So as soon as an individual shows any symptoms of ICH, physician attempts to make a quick and early diagnosis by:
1) Detailed patient history
2) Physical examination
3) Neurological examination
4) CT scan
5) MRI
6) Angiogram
7) Computed Tomography Angiography (CTA) scan

Authored By Dr. Manish Vaish

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