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Intracerebral Hemorrhage: The 'Other' Stroke

A recent patient of mine, 48-year-old "Joe" (not his real name), was eating with his family at an Italian restaurant. Suddenly, he stood up, cursed, and collapsed. They brought him to the hospital, and he could not talk, move, or do anything we asked him to do.

It turned out that Joe had suffered the second-most common, but deadliest, form of stroke: intracerebral hemorrhage.

When people hear "stroke," they typically think of the more prevalent type of brain attack, an ischemic stroke, where a clot lodges in an artery, blocking blood flow to the brain and starving it of oxygen.

Intracerebral hemorrhage, on the other hand, is spontaneous bleeding in the brain,…

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Featured

 The Diagnosis I Never Expected: A Young Stroke Survivor’s Story

The only consensus was that I had a right-sided intracerebral hemorrhage in the basal ganglia (structures deep within the brain, a common location for bleeding, although not in someone my age), which resulted in left-sided weakness. It looked like your classic brain hemorrhage caused by high blood pressure, or so I was told. There was only one problem: I was a healthy 28-year-old man with no history of high blood pressure. My blood pressure was not even high the night of the stroke when the paramedics evaluated me.

Articles of Interest

International Epidemiology of Intracerebral Hemorrhage

Intracerebral hemorrhage is the second most common subtype of stroke. In recent decades our understanding of intracerebral hemorrhage has improved. New risk factors have been identified; more knowledge has been obtained on previously known risk factors; and new imaging techniques allow for in vivo assessment of preclinical markers of intracerebral hemorrhage.

Intracerebral Hemorrhage & AV Malformation

The arteriovenous (AV) malformation consists of a congenital abnormality of anomalous, dilated capillaries that result in shunting of blood from the arterial to venous side. AV malformations are by far the most common of the cerebrovascular malformations.

Intracerebral Hemorrhage – What Is It?

For the families of intracerebral hemorrhage victims, this scenario will sound familiar, almost like a dramatic scene from a TV movie

Resources

10 Things You Probably Didn't Know About Brain Bleeds

If a hemorrhagic stroke could happen to me, with both low cholesterol and blood pressure, no diabetes, and a non-smoker, it could happen to anyone. Or is it an aneurysm? Now I know! And even more. Here's 10 questions about brain bleeds. Write down your answers and compare them with the real answers below. Let me know how you did. 100%? In your dreams! (But maybe). Good luck.

The Internet Stroke Center

The most common cause of intracerebral hemorrhage is high blood pressure (hypertension). Since high blood pressure by itself often causes no symptoms, many people with intracranial hemorrhage are not aware that they have high blood pressure, or that it needs to be treated.

AMBOSS

Prognosis - Poor: ∼ 50% of patients die within 30 days.

Radiopaedia.org

The aetiology, demographics, treatment and prognosis vary widely depending on the type of haemorrhage...