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Intracerebral Hemorrhage

Intracerebral Hemorrhage is a topic covered in the 5-Minute Emergency Consult.

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Basics

Description

Hemorrhage into brain parenchyma:
  • Compression of brain tissues
  • 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 (warfarin, heparin)
  • 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

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Intracerebral Hemorrhage ID - 307557 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307557/all/Intracerebral_Hemorrhage PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -