Intracerebral Hemorrhage

Synonyms
ICB, hämorrhagischen Schlaganfall

Intracerebral hemorrhages (ICH) account for approximately 10-20 % of all strokes1. This involves bleeding within the brain parenchyma, usually caused by rupture of small arterioles. Local pressure and the mechanisms of hemostasis ultimately lead to cessation of the bleeding.

Epidemiology

Intracerebral hemorrhages (ICH) account for approximately 10-20% of all strokes and have an incidence in North America of approximately 21.1 / 100,000 per year, with a mean patient age of 69 years2. Approximately 5,9% of patients with an intracerebral hemorrhage require an external ventricular drain3.

Imaging

Cerebellar hemorrhage on CT
Extensive cerebellar hemorrhage on an axial CT image.

Treatment

Depending on the size and location of the intracerebral hemorrhage, it may be treated conservatively. In some cases, surgical decompression of the hemorrhage is necessary.

References


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