Chapter

Intracerebral Hemorrhage

Gary A. Rosenberg

in Molecular Physiology and Metabolism of the Nervous System

Published on behalf of Oxford University Press

Published in print April 2012 | ISBN: 9780195394276
Published online April 2013 | e-ISBN: 9780199322831 | DOI: http://dx.doi.org/10.1093/med/9780195394276.003.0011

Series: Contemporary Neurology Series

Intracerebral Hemorrhage

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Intracerebral hemorrhage (ICH) is the least frequent of the three major types of stroke, but it is the most deadly.1 Occurring in 10% to 15% of patients with stroke, ICH is the major cause of death and disability.2 Neuroimaging with computed tomography (CT) and magnetic resonance imaging (MRI) has dramatically changed the way we view a hemorrhagic mass lesion. Both CT and MRI show sites of bleeding and allow the sequence of events leading up to the formation of a mass lesion to be readily visualized. Prior to the development of modern neuroimaging methods, intracranial bleeding was considered a devastating illness with dramatic symptoms. Computed tomography scans reveal that many patients thought to have small thromboses because of the limited nature of the symptoms actually have small bleeds. In the pre-CT era, the cause of the hemorrhage rarely was resolved, even at autopsy, because the large hemorrhages obscured the mechanisms at the onset of the insult.

Chapter.  6563 words.  Illustrated.

Subjects: Neurology

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