An intracerebral hemorrhage (ICH) is a blood clot that forms within the brain tissue due to a rupture of small artery.
Symptoms usually involve sudden onset of stroke like symptoms such as:
Proper management and control of high blood pressure will help to minimise development of intracerebral hemorrhage.
The possible causes are due to:
Diagnosis usually begins with a neurological exam and includes computed tomography (CT) and magnetic resonance imaging (MRI) scans of the brain.
Additional tests such as a cerebral angiogram may be necessary to exclude the other possible causes of an ICH as listed above.
A CT brain scan showing a large blood clot with surrounding pressure and swelling of the brain structures.
Factors that affect prognosis after intracerebral hemorrhage are:
Patients with a small hematoma may have residual neurological deficits and may benefit from inpatient rehabilitation.
The prognosis however is generally poor for patients with large ICH and long-term mental and physical disability usually occurs.
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