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CEREBRAL HEMORRHAGE >A cerebral hemorrhage or haemorrhage (or intracerebral hemorrhage, ICH) is a subtype ofintracranial hemorrhage that occurs within the

brain tissue itself. Intracerebral hemorrhage can be caused by brain trauma, or it can occur spontaneously in hemorrhagic stroke. Non-traumatic intracerebral hemorrhage is a spontaneous bleeding into the brain tissue.[1] A cerebral hemorrhage is an intra-axial hemorrhage; that is, it occurs within the brain tissue rather than outside of it. The other category of intracranial hemorrhage is extra-axial hemorrhage, such as epidural, subdural, and subarachnoid hematomas, which all occur within the skull but outside of the brain tissue. There are two main kinds of intra-axial hemorrhages: intraparenchymal hemorrhage and intraventricular hemorrhages. As with other types of hemorrhages within the skull, intraparenchymal bleeds are a serious medical emergency because they can increase intracranial pressure, which if left untreated can lead to coma and death. The mortality rate for intraparenchymal bleeds is over 40%.[2] High blood pressure, atherosclerosis (buildup of plaque in artery walls), and amyloid angiopathy (protein deposits in artery walls) can weaken blood vessel walls. Aneurysms, which are bulges in weakened areas, can form when blood vessels are damaged or they can be present at birth. Arteriovenous malformations, which are abnormal connections between arteries and veins that may be present at birth, are another vascular abnormality that can be a site of cerebral hemorrhage. SIGNS AND SYMPTOMS >Patients with intraparenchymal bleeds have symptoms that correspond to the functions controlled by the area of the brain that is damaged by the bleed.[3] Other symptoms include those that indicate a rise in intracranial pressure due to a large mass putting pressure on the brain.[3] Intracerebral hemorrhages are often misdiagnosed as subarachnoid hemorrhages due to the similarity in symptoms and signs. A severe headeche followed by vomitting is one of the symptoms of the disease.
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Common symptoms of cerebral hemorrhage include: Change in level of consciousness or alertness such as passing out or unresponsiveness Difficulty swallowing Difficulty with thinking, talking, comprehension, writing or reading Loss of vision or changes in vision Numbness or weakness Paralysis Seizures Severe headache

        Serious symptoms that might indicate a life-threatening condition Cerebral hemorrhage is always an emergency and can be life threatening. hallucinations or delusions Garbled or slurred speech or inability to speak Paralysis or inability to move a body part Seizure Sudden change in vision. Seek immediate medical care (call 911) if you. loss of vision. Not all people with risk factors will get cerebral hemorrhage. or someone you are with. Risk factors for cerebral hemorrhage include: Amyloid angiopathy (deposits of protein in artery walls) Arteriovenous malformations (abnormal connections between arteries and veins) Atherosclerosis (buildup of plaque on the walls of the coronary arteries. or eye pain Trauma to the head Worst headache of your life ASSESSMENT What causes cerebral hemorrhage? Cerebral hemorrhage can be due to head trauma or can occur as a result of weakened blood vessels. which can be present at birth or can occur due to processes that damage blood vessels. delirium. have any of these life-threatening symptoms including: Change in level of consciousness or alertness such as passing out or unresponsiveness Change in mental status or sudden behavior change such as confusion. lethargy. atherosclerosis is a type of arteriosclerosis) Cerebral aneurysms (life-threatening bulging and weakening of the wall of an artery that can burst and cause severe hemorrhage in the brain) Head trauma Hypertension (high blood pressure) Reducing your risk of cerebral hemorrhage / Interventions             You may be able to lower your risk of cerebral hemorrhage by: Controlling your blood pressure Eating a healthy diet Exercising regularly Quitting smoking Taking precautions against falling Using safety devices such as helmets and seatbelts when necessary . What are the risk factors for cerebral hemorrhage? A number of factors increase the risk of developing cerebral hemorrhage.

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