Intracerebral Hemorrhage (ICH)
Understanding Intracerebral Hemorrhage (ICH) found on Brain Computed Tomography imaging. Learn what this finding means and what steps to take next.
Radiographic Appearance
Computed Tomography FindingHyperdense parenchymal bleed with surrounding edema; possible intraventricular extension and midline shift.
Clinical Significance
Neurocritical emergency; size, location, and mass effect guide management.
What is ICH?
Bleeding within the brain tissue, commonly due to hypertension, amyloid angiopathy, or anticoagulation. Non-contrast CT is first-line.
Imaging Appearance
- Hyperdense collection in basal ganglia, lobar, thalamic, or cerebellar regions
- Perihematomal edema, mass effect, midline shift
- Intraventricular extension raises hydrocephalus risk
Clinical Significance
- Rapid assessment determines ICU care, BP control, surgery consideration
- Hematoma expansion risk highest in first hours
Symptoms
- Sudden focal deficit, severe headache, vomiting, decreased consciousness
Diagnosis
- Non-contrast head CT
- Labs: renal/electrolytes for contrast planning or BP meds
Treatment
- BP management, reverse anticoagulation, neurosurgical consult
- Surgical evacuation for select lobar or cerebellar bleeds
Prognosis
- Depends on volume, age, GCS; early care improves outcomes
What Should You Do?
- Activate stroke/ICH emergency pathway.
- Avoid anticoagulants/antiplatelets until cleared.
- Monitor neuro status closely.
Medical Disclaimer: Educational only; follow neurologist/neurosurgeon guidance.
Correlate with Lab Results
Doctors often check these blood tests when Intracerebral Hemorrhage (ICH) is found on imaging:
Related Imaging Terms
Have a Computed Tomography Report?
Upload your imaging report PDF and get instant, easy-to-understand explanations for terms like "Intracerebral Hemorrhage (ICH)". WellAlly helps you understand your radiology results.