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A kind of stroke caused due to bleeding inside the brain tissue is called intracerebral
hemorrhage. Usually, stroke occurs when the brain is deprived of oxygen due to an interruption
of its blood supply. The main causes for intracerebral hemorrhage are
hypertension,arteriovenous malformations or head trauma
How it occurs?
Due to high blood pressure or hypertension, the walled arteries break and blood spreads into
the brain tissue. These blood forms a clot which is known as hematoma. The hematoma grows
slowly and causes pressure on the surrounding brain tissue. This pressure makes a person
experience tension and lethargic. When the blood spill into the brain, the area that artery
supplied will lack oxygen and rich blood. This condition is called stroke. The surface or in deep
areas of the brain is the main platform where intracerebral hemorrhage takes place.The
symptoms of intracerebral hemorrhage is sudden which requires immediate action. The
symptom may alter according to the location of the bleed.
Some of the common symptoms are :
- Sudden weakness
- Numbness of the face, leg and arm
- Temporary loss of vision
- Confusion or lethargy
- Loss of consciousness etc.
Diagnosis of Intracerebral Hemorrhage
ICH (intracerebral hemorrhage) requires emergency medical care. When an individual starts
showing symptoms of ICH, he or she might be taken for diagnosis. Diagnostic options may
- Computerised Tomography Angiography
- Angiogram and
- MRI Scan etc.
Bleeding in the area between the brain and the tissue that cover the brain (subarachnoid space)
is called subarachnoid hemorrhage. The condition causes the patient to feel a sudden and worst
headache. Subarachnoid hemorrhage can be caused by different reasons such as:
- Bleeding from an arteriovenous malformation
- Bleeding from a cerebral aneurysm
- Use of blood thinners
- Head injury and
- Unknown causes
Symptoms of Subarachnoid Hemorrhage
Severe headache is the main symptom of subarachnoid hemorrhage. These kinds of headache
is often called as thunderclap headache. The headache may start after a snapping or popping
feeling in the head. Other symptoms may include:
- Decreased consciousness and alertness
- Stiff neck
- Vision problems like double vision, blind spots or temporary vision loss
- Nausea and vomiting
- Mood and personality changes
- Muscle aches
- Eye discomfort in bright light
- yelid drooping
- Sudden stiffness of back and neck, with arching of the back and
- Pupil size difference etc.
When the symptoms are checked, the doctor may suggest you to have certain tests such
- A head CT
- Cerebral angiography
- ranscranial Doppler ultrasound
- MRA and
- CT scan angiography
Unlike with these ischemic stroke, if you
are having a hemorrhagic stroke then treatment goals are to make your blood
clot. So, you may be given medication to counteract random blood thinners you
You may also be prescribed drugs that can:
the pressure in your brain
blood vessel constriction
During these procedure, specific doctor
guides a long tube to the area of hemorrhage or weakened blood vessel. They can
install a coil-like device in the area where the artery wall is weak. It blocks
blood flow to the area, reducing bleeding.
During specific tests, the doctor may
discover an aneurysm that has not started bleeding yet or has stopped.
To prevent such additional bleeding, a
surgeon may place a tiny clamp at the base of the aneurysm. This cuts off blood
supply and prevents a possible broken blood vessel and new bleeding.
If any doctor sees that an aneurysm has
burst, then a surgery may be done to clip the aneurysm and prevent additional
bleeding. Likewise, a craniotomy may be needed to relieve the pressure on the
brain after a large stroke.