Intra-Cerebral Hemorrhage

A general term that defines an accumulation of blood anywhere in the brain. ICH does not necessarily imply the cause of bleeding. Typically non-traumatic sources include vascular malformations, aneurysms, blood clotting disorders, including those on blood thinners, tumors, and vascular disease resulting from high blood pressure. Surgical evacuation may be indicated for accessible hematomas in those with a declining level of consciousness once any alteration in blood clotting is corrected.

Figure 1
Axial CT reveals a sizable right basal ganglia hemorrhage secondary to long-standing untreated hypertension. Midline indicated by black line bisecting cranium measurement of midline shift indicated (red arrow).