Intracranial bleed
Deep intracerebral hemorrhage is a severe condition that requires prompt medical attention. It can develop quickly into a life-threatening situation.
Treatment depends on the location, cause, and extent of the hemorrhage.
Surgery may be needed, especially if there is bleeding in the back part of the brain called the cerebellum. Surgery may also be done to repair or remove structures causing the bleed such as a cerebral aneurysm or arteriovenous malformation.
Medicines used may include:
Other treatments may be recommended, depending on your overall health and symptoms.
The outlook depends on the size of the hematoma and the amount of brain swelling.
Recovery may occur completely, or there may be some permanent loss of brain function. Death is possible, and may quickly occur despite prompt medical treatment.
Medications, surgery, or other treatments may have severe side effects.
Any type of intracerebral hemorrhage, or "brain attack," is a medical emergency.
Go to the emergency room or call 911 if other symptoms of deep intracerebral hemorrhage develop. Emergency symptoms include:
Call your health care provider if severe headache with nausea, vomiting, decreased vision, numbness, or tingling occurs.
Zivin JA. Hemorrhagic cerebrovascular disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 432.
Goldstein LB. Prevention and management of stroke. In: Libby P, Bonow RO, Mann DL, Zipes DP, eds. Libby: Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 8th ed. Saunders;2007:chap 58.