Intracerebral Hemorrhage
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Basics
Description
Hemorrhage into brain parenchyma:- 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:- 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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Basics
Description
Hemorrhage into brain parenchyma:- 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:- 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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