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Cerebral aneurysm
Cerebral aneurysm
Arteries of the brain
Arteries of the brain
OverviewSymptomsTreatmentPrevention

Deep intracerebral hemorrhage

Alternative Names:

Hemorrhage - intracerebral (deep); Intracranial bleed



Treatment:

Deep intracerebral hemorrhage is a severe condition requiring prompt medical attention -- even if symptoms are episodic. It can develop quickly into a life-threatening situation.

Treatment goals include life support measures and control of symptoms. Treatment varies depending on the specific location, extent, and cause of the bleeding.

Surgical removal of hematomas may be appropriate, especially if there is a hematoma in the cerebellum. Surgical repair or removal of structures causing the bleed (repair of cerebral aneurysm, arteriovenous malformation) may be appropriate in some cases.

Medicines used may include corticosteroids or diuretics to reduce swelling, anticonvulsants to control seizures, analgesics to control pain, and others.

Other treatments may be recommended, depending on the condition of the person and the symptoms that develop.



Expectations (prognosis):

The outcome is highly variable. Prognosis depends on the degree of swelling and size of the hematoma. Death may occur quickly despite prompt medical treatment.

Recovery may occur completely or with any level of permanent loss of brain functions. Medications, surgery, or other treatments may have severe side effects.



Complications:
  • Permanent loss of any brain function
    • Loss of vision
    • Loss of movement of one or all extremities
    • Loss of speaking ability
    • Loss of eating or swallowing ability
    • Loss of cognitive function
  • Complications of surgery
  • Side effects of medications used to treat the disorder
  • Hydrocephalus, especially if blood is in the ventricles.


Calling your health care provider:
Call your health care provider if severe headache with nausea, vomiting, decreased vision, numbness, or tingling occurs.

Go to the emergency room or call the local emergency number (such as 911) if other symptoms of deep intracerebral hemorrhage develop. Emergency symptoms include difficulty breathing, seizures, loss of ability to move or swallow, sudden loss of sensations, sudden change in mental state, and loss of consciousness.

Review Date: 7/29/2002
Reviewed By: Joseph V. Campellone, M.D., Division of Neurology, Cooper Hospital/University Medical Center, Camden, NJ. Review provided by VeriMed Healthcare Network.

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