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Quick Medical Diagnosis & Treatment
Stroke, Intracerebral Hemorrhage
Sections: Key Features, Essentials of Diagnosis, General Considerations, Hypertensive intracerebral hemorrhage, Other causes, Clinical Findings, Symptoms and Signs, Hemorrhage into the cerebral hemisphere, Cerebellar hemorrhage, Differential Diagnosis, Diagnosis, Laboratory Tests, Imaging Studies, Treatment, Surgery, Therapeutic Procedures, Outcome, Prognosis, When to Refer, When to Admit, References,
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Topics Discussed: cerebral hemisphere hemorrhage; hypertensive intracerebral hemorrhage.
Excerpt: | |  Spontaneous, nontraumatic intracerebral hemorrhage in patients with no angiographic evidence of an associated vascular anomaly (eg, aneurysm or angioma) is usually due to hypertension
Likely pathologic basis is microaneurysms that develop on perforating vessels 100–300 mcm in diameter in hypertensive patients Occurs most frequently in the basal ganglia and less commonly in the pons, thalamus, cerebellum, and cerebral white matter Extension into the ventricular system or subarachnoid space may cause signs of meningeal irritation In the elderly, cerebral amyloid angiopathy is another important and frequent cause of hemorrhage | | – It is usually lobar in distribution and sometimes recurrent –..."
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