Intracerebral Hemorrhage

An intracerebral hemorrhage (ICH) is a very serious type of stroke that results when an artery or vein in the brain bursts. As blood leaks out, it forms a blood clot (hematoma), which can press on the brain and damage brain cells. The most common causes of ICH are high blood pressure, arteriovenous malformations (abnormal connections between arteries and veins), brain tumors, emboli and head injuries.

Overview

Symptoms

An ICH is a medical emergency and must be treated immediately. Symptoms of intracerebral hemorrhage include:

  • Confusion
  • Headache
  • Lethargy
  • Loss of consciousness
  • Nausea or vomiting
  • Temporary blindness
  • Sudden weakness or numbness (often on one side)
  • Seizures

Diagnosis

To understand the cause of the bleeding, your doctor may order an MRI or one of the following tests:

  • Angiogram: A catheter is inserted into an artery and threaded through the circulatory system up to the brain. A dye is injected through the catheter, which allows for X-rays of the blood flow inside.
  • Computed Tomography Angiography (CTA): Dye is injected directly into the bloodstream, providing a view of arteries in the brain on a CT scan.

Find a Specialist

Our search tool can help you find the right neuroscience specialist.

Treatment Options

Once your doctors identify the source of bleeding, hematoma treatments may include:

  • Surgery, including BrainPath® technology, a minimally invasive procedure to access the hematoma through a dime-sized narrow channel, or port
  • Medication to control blood pressure

Find a Specialist

Our search tool can help you find the right neuroscience specialist.

Get a Second  Opinion

Knowing all your options can make life's toughest decisions a little easier.

Your Life Your Health

myAurora makes it easy to manage your care online, anytime.