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Intracerebral Hemorrhage

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Synonyms

Hemorrhagic stroke; ICH; Intracranial hemorrhage; Intraparenchymal hemorrhage

Definition

An intracerebral hemorrhage (ICH) – bleeding into the brain – can result from trauma, but more commonly results spontaneously when the wall of a blood vessel in the brain bursts, allowing blood to leak into the tissue of the brain, producing a type of stroke.

Current Knowledge

The sudden appearance of blood in the brain can be irritating or toxic to brain cells, and the increase in intracranial pressure causes additional brain damage. Although ICH usually occurs in the basal ganglia, brain stem, and cerebellum, it also can involve the cerebral hemispheres and cortex. ICH accounts for an estimated 10–15% of all strokes. It occurs at all ages, but it tends to affect younger people more commonly than do ischemic strokes, and its incidence among African-Americans is double that of other racial groups. It is most frequently caused by sudden episodes of extreme hypertension, but also can be...

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  • DOI: 10.1007/978-0-387-79948-3_2183
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References and Readings

  • Broderick, J., Connolly, S., Feldmann, E., Hanley, D., Kase, C., Krieger, D., et al. (2007). Guidelines for the management of spontaneous intracerebral hemorrhage in adults – 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Stroke, 38, 2001–2023.

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© 2011 Springer Science+Business Media, LLC

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Roth, E.J. (2011). Intracerebral Hemorrhage. In: Kreutzer, J.S., DeLuca, J., Caplan, B. (eds) Encyclopedia of Clinical Neuropsychology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-79948-3_2183

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