Intracerebral hemorrhage

An intracerebral hemorrhage, or intraparenchymal cerebral hemorrhage, is a subset of an intracranial hemorrhage. This can encompass a number of entities that share the acute accumulation of blood in the parenchyma of the brain. The etiology, epidemiology, treatment and prognosis vary widely depending on the type of hemorrhage, and as such these are discussed separately. 

Types of intracerebral hemorrhage include (see related articles for full list):

Practical points

With any intracerebral hemorrhage the following points should be included in a report as they have prognostic implications 3:

  • location
  • size/volume
    • the ABC/2 formula is widely used, but there may be more accurate formula (e.g. 2.5ABC/6, SH/2) and analyzes available, some of which may require addition of specific software to the standard PACS
  • shape (irregular vs regular)
  • density (homogeneous vs heterogeneous)
  • presence/absence of intraventricular hemorrhage
  • presence/absence of hydrocephalus
  • when CTA performed, the presence/absence of the CTA spot sign or a vascular malformation
Stroke and intracranial haemorrhage

Article information

rID: 6132
Synonyms or Alternate Spellings:
  • Intraparenchymal hematoma
  • Intracerebral bleed
  • Intracerebral hemorrhage
  • Haemorrhagic stroke
  • Intraparenchymal cerebral haemorrhage
  • Intraparenchymal cerebral bleed
  • Intraparenchymal cerebral hemorrhage
  • Intracerebral haemorrhages
  • Intraparenchymal cerebral hemorrhages
  • Intraparenchymal cerebral bleeds
  • Intraparenchymal cerebral haemorrhages
  • Intracerebral hemorrhages
  • Intracerebral bleeds
  • Intra-cerebral haemorrhage

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Cases and figures

  • Case 1: ICH (on warfarin)
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  • Case 2: basal ganglial bleed
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  • Haemorrhagic infa...
    Case 3: hemorrhagic infarction
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  • Case 4: hypertensive hemorrhage
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  • Case 5
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  •  Case 6
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  • Case 7: coagulopathy
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  • Case 8: subacute intracranial hemorrhage
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  • Case 9: subacute intracerebral hematoma
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  • Case 10
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  • Case 11: cerebellar
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  • Case 12
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  • Case 13: T2*
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  • Case 14: Hyperacute hemorrhage on MRI and CT
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  • Case 15: spot sign
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