Deep intracerebral hemorrhage

Alternative names:

hemorrhage - intracerebral (deep)

Treatment:

Deep intracerebral hemorrhage is a severe condition requiring prompt medical attention even if symptoms are episodic or progressive. It may develop quickly into a life-threatening situation. Treatment goals include lifesaving interventions, 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, or others. Other treatments may be recommended depending on the condition of the person and the symptoms which develop.

Expectations (prognosis):

The outcome is highly variable. Death may occur rapidly 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:

• stroke
• permanent loss of any brain function
• complications of surgery
• side effects of medications used to treat the disorder (see the specific medication)
• hydrocephalus, especially if blood is in the subarachnoid space or the ventricle

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 change in mental state, and loss of consciousness.