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Non-Traumatic Intracerebral Hemorrhage

Non-traumatic Intracerebral hemorrhage is bleeding in the brain caused by a rupture or leak of a blood vessel within the head. This causes:

  • Swelling 
  • Increased pressure within the skull 
  • Rapid destruction of tissue 
  • The result is a loss or impairment of the body functions controlled by the affected part of the brain.

Common causes of  intracerebral hemorrhage:

  • Intracerebral hemorrhage is often caused by damage to blood vessel walls from high blood pressure.   
    This results in a hemorrhagic stroke.
  • Ruptured aneurysm
  • Arteriovenous malformation
  • Head trauma

Treatment for intracerebral hemorrhage depends on:

  • The location, extent, and duration of bleeding
  • The general condition of the person
  • A Craniotomy or a craniectomy may be performed.
  • Insertion of an External Ventricular device may be a possibility if the ventricles of the brain are involved.  
  • An EVD is: the temporary drainage of cerebrospinal fluid (CSF) from the lateral ventricles of the brain into an external collection bag.  An EVD system drains CSF by using a combination of gravity and intercerebral pressure. The drainage rate depends on the height at which the EVD system is placed relative to the patient’s anatomy.
  • Purpose of EVD
    • Relieve elevated intracranial pressure (ICP)
    • Drain infected CSF
    • Drain bloody CSF or blood after surgery or hemorrhage
    • Monitor the flow rate of CSF