Cerebral Hemorrhage PDF

Cerebral Hemorrhage Dr. Heba Abou El Atta. MD, EDiR, FRCR Introduction Definition: Cerebral hemorrhage refers to bleeding within the brain tissue or surrounding meningeal spaces. Importance: It's a critical condition that can lead to severe neurological damage or dea...

Cerebral Hemorrhage Dr. Heba Abou El Atta. MD, EDiR, FRCR Introduction Definition: Cerebral hemorrhage refers to bleeding within the brain tissue or surrounding meningeal spaces. Importance: It's a critical condition that can lead to severe neurological damage or death.  Circle of Willis It is an anastomosis of arteries sits at the base of the brain: Anterior cerebral arteries (ACA) Internal carotid arteries (ICA) Posterior communicating arteries (PCA) Posterior cerebral arteries (PCA)  Cerebral veins Superficial system of veins Superior cerebral vein Middle cerebral vein Inferior cerebral vein Deep system of veins Thalamostriate veins Choroidal veins Internal cerebral veins Great cerebral vein Cerebral Hemorrhage Causes of cerebral hemorrhage Clinical picture Clinical picture  A: Brain window (WW 80, WL 40); B: Bone window (WW 3000, WL 500); C: Soft tissue window (WW 260, WL 80); D: Stroke window (WW 40, WL 40). Age of blood in CT Age of hemorrhage Appearance of intracerebral hemorrhage on MRI by stage  Types of Cerebral Hemorrhage 1.Intracerebral Hemorrhage (ICH): Occurs within the brain tissue itself. 2.Subarachnoid Hemorrhage (SAH): Bleeding in the space between the brain and the tissues covering it. 3.Subdural Hemorrhage: Bleeding between the brain and its outermost covering. 4.Epidural Hemorrhage: Bleeding between the skull and the outer covering of the brain. Intraparenchymal hemorrhage Intraparenchymal hemorrhage Extradural hematoma (EDH) Subdural hematoma (SDH) Extra-axial hemorrhage Extra-axial hemorrhage Subarachnoid hemorrhage Extra-Axial Hemorrhage Subarachnoid Hemorrhage (SAH) Subarachnoid hemorrhage(SAH) Intraventricular hemorrhage