5-Minute Emergency Consult
Intracerebral Hemorrhage
Basics
Description
Hemorrhage into brain parenchyma:Description
- Compression of brain tissue
- Secondary injury results from:
- Cerebral edema
- Increased intracranial pressure (ICP)
- Potential of brain herniation
Etiology
Intracerebral hemorrhage can occur spontaneously or from trauma:Etiology
- Uncontrolled or acute HTN (most common)
- Vascular malformations:
- Arteriovenous malformation
- Venous angiomas
- Ruptured cerebral aneurysms
- Neoplasm (particularly melanoma and glioma)
- Anticoagulant therapy
- Thrombolytic agents
- Illicit drugs (cocaine, amphetamines)
- Bleeding disorders (hemophilia)
- Cerebral amyloid angiopathy
- Traumatic hemorrhage secondary to blunt or penetrating injury
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Citation
Schaider, Jeffrey J., et al., editors. "Intracerebral Hemorrhage." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307557/2.1/Intracerebral_Hemorrhage.
Intracerebral Hemorrhage. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307557/2.1/Intracerebral_Hemorrhage. Accessed October 31, 2025.
Intracerebral Hemorrhage. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307557/2.1/Intracerebral_Hemorrhage
Intracerebral Hemorrhage [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2025 October 31]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307557/2.1/Intracerebral_Hemorrhage.
* Article titles in AMA citation format should be in sentence-case
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T1 - Intracerebral Hemorrhage
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ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
BT - 5-Minute Emergency Consult
UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307557/2.1/Intracerebral_Hemorrhage
PB - Lippincott Williams & Wilkins
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DB - Emergency Central
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