Lobar intracerebral hemorrhage

Alternative names:

hemorrhage - intracerebral (lobar); hemorrhage - intraparenchymal

Treatment:

The treatment is variable depending on the specific location, extent, and cause of the bleeding. Treatment goals may include lifesaving interventions such as intubation and hyperventilation (a breathing tube is inserted and the person is forced to breath rapidly; this reduces pressure in the brain). Treatment goals may also include supportive measures or control of symptoms.

If the bleed is small and does not cause increased pressure within the brain, treatment may be conservative and focus on control of symptoms.

Surgical removal of hematomas may be appropriate in some cases. Surgical repair of structures causing the bleed (repair of aneurysm, arteriovenous malformation, etc.) may be appropriate in some cases.

Medicines may be needed to reduce brain swelling. Anticonvulsants may be needed to control seizures, analgesics may be needed to control pain, or other medications may be needed.

Expectations (prognosis):

The probable 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 treatments may have severe side effects.

Complications:

• hydrocephalus
• permanent loss of any brain function
• side effects of medications used to treat the disorder
• complications of surgery

Calling your health care provider:

Call your health care provider if symptoms indicate lobar intracerebral hemorrhage. Intracerebral hemorrhage is a severe condition requiring prompt medical attention. It may develop quickly into a life-threatening situation.

Go to the emergency room or call the local emergency number (such as 911) if symptoms include difficulty breathing, seizures, loss of consciousness, and inability to speak or swallow.