Intracerebral Hemorrhage (ICH):


ICH is another type of bleed in the brain that occurs within the brain tissue itself. ICH is usually due to high blood pressure, vascular malformations (abnormal tangle of blood vessels) in the brain tissue, brain tumors that bleed, blood thinners, or an entity known as amyloid angiopathy which implies vessel abnormality that occurs in older patients. Some types of ICH are treated with surgery, though most are not. Intracerebral hemorrhages can rupture into the fluid filled spaces within the brain called the ventricles. When this occurs patients often need drainage of this fluid and blood through a tube placed through the skull and into the ventricle. Prognosis after ICH depends on the size of the bleed, the presence of intraventricular blood, the clinical condition of the patient at presentation, the age of the patient and the location of the blood.