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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]
Subarachnoid hemorrhage (SAH) is bleeding into the subarachnoid space—the area between the arachnoid membrane and the pia mater surrounding the brain. [1] Symptoms may include a severe headache of rapid onset , vomiting, decreased level of consciousness , fever , weakness, numbness, and sometimes seizures . [ 1 ]
Above the subarachnoid space, collagen fibers from the trabeculae are attached to the arachnoid mater, reinforcing it with collagen to withstand fairly strong forces. Below the subarachnoid space, trabecular collagen passes through the pia mater and sub-pial space, and is attached to the basement membrane , beneath which it embeds itself in a ...
Infants, too, have larger subdural spaces and are more predisposed to subdural bleeds than are young adults. [3] It is often claimed that subdural hematoma is a common finding in shaken baby syndrome, although there is no science to support this. [8] In juveniles, an arachnoid cyst is a risk factor for subdural hematoma. [12]
CSF circulates in the subarachnoid space (between arachnoid and pia mater). Cerebrospinal fluid is produced by the choroid plexus (inside the ventricles of the brain, which are in direct communication with the subarachnoid space so the CSF can flow freely through the nervous system). Cerebrospinal fluid is a transparent, colourless fluid and it ...
[1] [5] Anticoagulation should be reversed if possible and blood sugar kept in the normal range. [1] A procedure to place an external ventricular drain may be used to treat hydrocephalus or increased intracranial pressure, however, the use of corticosteroids is frequently avoided. [1] Sometimes surgery to directly remove the blood can be ...
The subarachnoid cisterns are spaces formed by openings in the subarachnoid space, an anatomic space in the meninges of the brain. [1] The space is situated between the two meninges, the arachnoid mater and the pia mater. These cisterns are filled with cerebrospinal fluid (CSF). [1]
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