Intracranial Hemorrhage

What Exactly Is an Intracerebral Hematoma (ICH)?

Small arteries transport blood to locations deep within the brain (see Anatomy of the Brain). Hypertension (high blood pressure) can lead these thin-walled vessels to burst, allowing blood through into brain cells. Clotted blood and fluid accumulation within the hard skull raises pressure, which can compress the brain against the skull or cause it to move and dislocate. As blood pours into the brain, the region fed by that artery is now devoid of oxygen-rich blood, resulting in a stroke. Toxins are produced as cells inside the clot die, further damaging brain tissue in the region around the hematoma.

What Are the Signs and Symptoms?

If you have signs of an ICH, contact 911 right once! Symptoms generally appear rapidly and vary depending on where the bleed occurs. Typical symptoms include:

  • vomiting, nausea, and headache
  • lethargy or perplexity
  • sudden numbness or weakening of the face, arm, or leg, generally on one side
  • consciousness loss
  • transient eyesight loss
  • seizures

What Are the Different Forms Of ICH?

ICH may be classified into four types:

Hematoma Epidural

A hematoma accumulates blood from a clot or ball that forms beyond a blood vein. When blood collects between the skull and the outermost layer of your brain, it forms an epidural haemorrhage.

It frequently occurs after a head injury and commonly with head trauma. A significant aspect is high-pressure bleeding. You might temporarily lose awareness and come back to life if you suffer from an epidural hematoma.

Subdural Hematoma

A subdural hematoma is an accumulation of blood on the brain's membrane.

It's usually caused by your head moving quickly forward and then halting, as in a vehicle collision. However, it might also indicate child abuse. This is the exact sort of movement that a youngster feels when shaken.

Subarachnoid Hematoma

It is called a subarachnoid haemorrhage when bleeding between the brain and the thin layers surrounding the brain. These tissues are known as meninges. Trauma is the most frequent cause, although it can also be caused by a burst of a large blood artery in the brain, like an intracranial haemorrhage aneurysm.

A severe headache generally precedes a subarachnoid haemorrhage. Loss of awareness and vomiting are other common symptoms.

Intracerebral Hemorrhage

Intracerebral haemorrhage occurs when there is bleeding within the brain. This is the most prevalent kind of ICH caused by a stroke. An injury does not generally cause it.

The quick development of neurological impairment is a major warning indicator. This is an issue with the way your brain works. The symptoms develop over minutes to hours.

What Exactly Are the Reasons?

Given below are the main reasons for Intracranial Hemorrhage;


High blood pressure can cause small arteries inside the brain to explode. The normal blood pressure is 120/80 mm Hg.

Thinners Of the Blood:

 Heparin, Coumadin, and warfarin used to protect clots in stroke and heart diseases may induce ICH.


A tangle of aberrant veins and arteries with no capillaries between them.


An aneurysm is a bulge or weakness in the arterial wall.

Trauma To the Head:

Skull cracks and penetration wounds (such as a gunshot) can injure an arterial and cause bleeding.

Disorders Of Bleeding:

Haemophilia, sickle cell anaemia, DIC, and thrombocytopenia are all conditions.


Angiomas and metastatic cancers with high vascularity can bleed into brain tissue.

Amyloid Angiopathy (AA):

An accumulation of protein inside the artery walls.


A blood accumulation within the skull is known as an intracranial hematoma. A ruptured blood artery in the brain generally causes it. Trauma, such as a vehicle accident or a fall, can also cause it. Blood may accumulate in brain tissue or beneath the skull, pushing on the brain.

Some brain injuries, such as those that result in only a brief time of unconsciousness, are mild. An intracranial hematoma, on the other hand, can be fatal. It typically needs rapid medical attention. This may include a procedure to remove excess blood. If you have any symptoms like those mentioned above of Intracerebral haemorrhage, then Apollo Hospital provides different services in and around labour, including the best doctors.

Request an appointment at Apollo Cradle, Bengaluru - Koramangala. Call 1860-500-1066 to book an appointment.

1. How long does cerebral bleeding last?

If left untreated, the brain will acquire the clot after a few weeks; however, the brain damage induced by ICP and blood toxins may be irreparable. Patients with minor haemorrhages and impairments are often treated medically.

2. Is it possible for a brain bleed to create irreversible damage?

Bleeding in the brain can result in lifelong impairment or death because it reduces the supply of oxygen-rich blood to brain parts, destroying brain cells.

3. Can you survive a brain bleed?

One-third of patients do not survive more than a month, and those who survive have permanent problems.

4. What measures should be taken in the aftermath of a brain haemorrhage?

Controlling yours with food, exercise, and medicine is the essential thing you can do. You should not smoke. Don't experiment with drugs. Cocaine, for example, can raise the risk of a brain haemorrhage.

5. What are the long-term consequences of intracranial bleeding?

A brain bleed can have long-term consequences based on the location of the bleeding, the level of damage, and your age or overall health. Among these effects are the inability to move a portion of one's body (paralysis). Loss of sensation or weakness in a certain area of the body.

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