Intracerebral hematoma

An intracerebral hematoma occurs when one or more blood vessels in the brain rupture, usually as a result of a head injury. It is a medical emergency which can be fatal and so all head injuries should be investigated.

Symptoms of an Intracerebral Hematoma

  • Severe headache.
  • Nausea.
  • Dizziness.
  • Confusion.
  • Loss of feeling or weakness in the limbs on one side.
  • Seizures.
  • Loss of consciousness.

Causes

An intracerebral hematoma usually results after a forceful impact to the head. This can be a sporting accident (such as a collision or being hit with a hard ball, stick or racket) or from a fall or road traffic accident etc.

Very rarely, an intracerebral hematoma may occur in the absense of a head injury. In these cases, blood disorders (such as hemophilia or anemia), chronic high blood pressure or drug overdoses may be the cause.

Treatment of an Intracerebral Hematoma

  • Seek medical attention immediately - call an ambulance.
  • The ambulance staff will try to stabilise the patient and will rush the patient to hospital.
  • On arrival at hospital, emergency surgery is required.
  •  This aims to stop the bleeding and relieve the pressure build-up in the skull.
  • After sucessful surgery, the patient will be kept under close observation in hospital for several weeks.
  • Further tests will be done to check for brain damage and to ensure that all bleeding has stopped.
  • Once released from hospital the patient will require regular check-ups and long-term medication.