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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]
Treatment depends on the location, extent, and cause of the bleeding. Often, treatment can reverse the damage that has been done. A craniotomy is sometimes done to remove blood, abnormal blood vessels, or a tumor. Medications may be used to reduce swelling, prevent seizures, lower blood pressure, and control pain.
An ecchymosis is a hematoma of the skin larger than 10 mm. [2] They may occur among and or within many areas such as skin and other organs, connective tissues, bone, joints and muscle. A collection of blood (or even a hemorrhage) may be aggravated by anticoagulant medication (blood thinner).
Intracerebral hemorrhage (ICH), also known as hemorrhagic stroke, is a sudden bleeding into the tissues of the brain (i.e. the parenchyma), into its ventricles, or into both. [3] [4] [1] An ICH is a type of bleeding within the skull and one kind of stroke (ischemic stroke being the other).
Epidural hematoma as seen on a CT scan with overlying skull fracture. Note the biconvex shaped collection of blood. There is also bruising with bleeding on the opposite side of the brain. Specialty: Neurosurgery, Neurology: Symptoms: Headache, confusion, paralysis [1] Usual onset: Rapid [2] Causes: Head injury, bleeding disorder, blood vessel ...
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]
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Head imaging, using either CT or MRI, can be useful for differentiating subgaleal hemorrhage from other sources of cranial bleeding. Head ultrasound is useful for the diagnosis of SGH in the hands of an operator experienced in imaging the neonatal head and scalp, and is preferable to CT due to lack of ionizing radiation.