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Intracranial hemorrhage (ICH), also known as intracranial bleed, is bleeding within the skull. [1] Subtypes are intracerebral bleeds (intraventricular bleeds and intraparenchymal bleeds), subarachnoid bleeds, epidural bleeds, and subdural bleeds. [2] Intracerebral bleeding affects 2.5 per 10,000 people each year. [1]
Longitudinal fracture: This type divides the base of the skull into two halves (right and left). It may result from blunt impact on the face, forehead, back of the head, or from front-to-back crushing forces. [6] Transverse fracture: This type divides the base of the skull into a front and rear half.
More common in adults than in children, intraparenchymal bleeds are usually due to penetrating head trauma, but can also be due to depressed skull fractures. Acceleration-deceleration trauma, [24] [25] [26] rupture of an aneurysm or arteriovenous malformation (AVM), and bleeding within a tumor are additional causes.
About 2 percent of head injuries and 15 percent of fatal head injuries involve an epidural hematoma. The condition is more common in teenagers and young adults than in older people, because the dura mater sticks more to the skull as a person ages, reducing the probability of a hematoma forming. Males are affected more than females. [3]
Epidural hemorrhage is bleeding between the dura mater and the skull. [4] It is commonly associated with damage to the middle meningeal artery, often resulting from a skull fracture. Subdural hemorrhage is bleeding between the dura mater and the arachnoid. [4] Intracerebral hemorrhage is bleeding within the brain tissue itself. [4]
A headache is a pain in the head, neck or face that is often described as a sensation of pressure that varies in location, frequency and severity, according to the National Institutes of Health.
A surgeon opens the skull and then the dura mater; removes the clot with suction or irrigation; and identifies and controls sites of bleeding. [28] [29] The injured vessels must be repaired. Postoperative complications can include increased intracranial pressure, brain edema, new or recurrent bleeding, infection, and seizures.
Internal bleeding (also called internal haemorrhage) is a loss of blood from a blood vessel that collects inside the body, and is not usually visible from the outside. [1] It can be a serious medical emergency but the extent of severity depends on bleeding rate and location of the bleeding (e.g. head, torso, extremities).