Intracranial hemorrhage | |
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Axiali CT scan of a spontaneous intracranial hemorrhage | |
Specialty | Emergency medicine ![]() |
Symptoms | Same symptoms as ischemic stroke, but unconsciousness, headache, nausea, stiff neck, and seizures are more often in brain hemorrhages than ischemic strokes |
Complications | Coma, persistent vegetative state, cardiac arrest (when bleeding is in the brain stem or is severe), death |
Types | Intracerebral hemorrhage, subarachnoid hemorrhage, epidural bleed, subdural bleed |
Causes | Stroke, head injury, ruptured aneurysm |
Intracranial hemorrhage (ICH) refers to any form of bleeding within the skull.[1] It can result from trauma, vascular abnormalities, hypertension, or other medical conditions. ICH is broadly categorized into several subtypes based on the location of the bleed: intracerebral hemorrhage (including intraparenchymal and intraventricular hemorrhages), subarachnoid hemorrhage, epidural hemorrhage, and subdural hematoma. Each subtype has distinct causes, clinical features, and treatment approaches.[2]