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Hypertensive Intracerebral Hemorrhage
Alternate Names : Hemorrhage - Intracerebral (Hypertensive)
DefinitionHypertensive intracerebral hemorrhage is bleeding in the brain caused by high blood pressure.
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Overview, Causes, & Risk Factors
Intracerebral hemorrhage can affect any person, regardless of age, sex, or race, but it is most common in older individuals.
Hypertensive intracerebral hemorrhage is caused by chronic high blood pressure. When blood pressure has remained high for a significant period of time, blood vessel walls can change in a process called lipohyalinosis. This can lead to blockage of the vessels and leakage of blood into the brain as the constant pressure wears away at the vessels' walls.
Intracerebral bleeding associated with hypertension most commonly occurs in the tissues of the basal ganglia, pons, cerebellum, and deep white matter of the brain. Blood irritates the brain tissues, causing swelling (cerebral edema).
The blood collects into a mass (hematoma). Both the swelling of the brain tissues and the presence of a hematoma within the brain put increasing pressure on brain tissue and can eventually destroy it.
Bleeding may occur into the ventricles of the brain or into the subarachnoid space (the space between the brain and the meninges, the membranes that cover the brain), causing symptoms of meningeal irritation.
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Definition Overview, Causes, & Risk Factors Symptoms & Signs Prevention Diagnosis & Tests Treatment Prognosis Complications Calling Your Health Care Provider
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Tests & Exams
Bleeding Time Blood Pressure CBC Cerebral Angiography Cranial CT Scan CT Scan Kidney Function Tests Liver Function Tests MRI MRI of the Head Partial Thromboplastin Time (PTT) Platelet Count Prothrombin Time (PT)
Surgery & Procedures
Ventriculoperitoneal Shunt
Other Topics
Bleeding Breathing Difficulty Consciousness - Decreased Cough Dizziness Drowsiness Fatigue Headache High Blood Pressure Movement - Uncoordinated Nausea and Vomiting Numbness and Tingling Pain Medications Seizures Speech Impairment (Adult) Swallowing Difficulty Swelling Unconsciousness - First Aid Vision Problems Weakness
Review Date : 7/25/2002
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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