Intracerebral hemorrhage (ICH) ranks as the second most prevalent form of stroke, characterised by the rupture of weakened blood vessels within the brain. This rupture leads to brain damage and can result in significant neurological disabilities.

What Exactly is Intracerebral Hemorrhage?

Intracerebral hemorrhage occurs when there's a degenerative weakening in either an artery or vein in the brain, causing it to burst and lead to internal bleeding within the brain itself.

Common Causes of Intracerebral Hemorrhage

The Role of Hypertension

Hypertension or high blood pressure is the primary cause of intracerebral hemorrhage. However, as hypertension often doesn't manifest obvious symptoms, individuals may be unaware of their high blood pressure and the need for medical intervention.

Other Causes

Other potential triggers include head injuries, infections, brain tumours, clotting deficiencies, and vascular abnormalities.

Risk Factors

  • Age
  • Diabetes
  • Taking blood-thinning medications such as warfarin (Coumadin)
  • Lack of exercise
  • History of heart disease, cardiovascular disease, or stroke
  • Obstructive sleep apnea
  • Smoking
  • Alcohol consumption
  • Hypertension (high blood pressure)
  • Obesity
  • History of brain aneurysm
  • Certain diseases, such as bleeding disorders or sickle cell disease
  • Dyslipidemia (high blood cholesterol)
  • Heart disease

Identifying Symptoms

Key Symptoms

Symptoms often mirror those of ischemic strokes, including limb numbness or weakness on one side of the body, sudden dizziness, and speech difficulties.

Unique Symptoms

A sudden, intense headache is a distinct symptom of intracerebral hemorrhage.

Diagnosis Procedures

Initial Steps

The initial diagnostic measure involves taking a detailed patient history.

Role of CT Scans

A computed tomography (CT) scan is vital in pinpointing the site of the internal bleeding within the brain, helping medical professionals identify the cause and make a diagnosis.

Treatment Approaches for Intracerebral Hemorrhage

The treatment plan is tailored depending on the exact location and cause of the brain bleeding.

Possible Treatment Complications

Complications can vary depending on the location and the severity of the internal bleeding within the brain.

Preventive Measures

To lower the risk of developing intracerebral hemorrhage, consider the following:

  • Annual health check-ups for early risk detection and management
  • Maintaining normal levels of blood pressure, blood sugar, and cholesterol
  • Consuming a well-balanced diet while avoiding excessive salt, sugar, and fats
  • Abstaining from smoking and excessive alcohol consumption
  • Seeking timely medical attention for any abnormal symptoms