Intracranial hemorrhage

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Intracranial Hemorrhage Treatment In Punjab

ICH stands for Intracranial Hemorrhage, which triggers acute bleeding inside the brain or skull. When you seek assistance from one of the best neurologists in Punjab, you are made well-familiar with the proper treatment only after checking the exact cause of the brain bleed and location. All those patients who suspect their neuro health is going down or are noticing unwanted symptoms,, consult our neurologist: Dr. Amit Mittal, at Neuro Life Brain & Spine Centre to seek the ultimate care for yourself. Moreover, the doctor will suggest the necessary prevention tips to manage the situation under all possible scenarios.

“Around the globe, Intracranial hemorrhage is the 2nd leading cause of Stroke.”

Which are the types of ICH?

ICH is of 4 major types:

Epidural Hemorrhage EH is categorized as blood collection present outside the blood vessel. Blood is collected b/w the skull and outermost brain covering. It occurs after head injury and skull fracture. Moreover, there’s a factor of high-pressure bleeding.
Subdural Hemorrhage Subdural hemorrhage includes blood collection on the brain surface. Someone involved in a car accident has this problem.
Subarachnoid Hemorrhage Subarachnoid Hemorrhage is when bleeding occurs between the brain and thin tissues. Medically, it’s known by the name of meninges. Moreover, there’s the factor of trauma.
Intracerebral Hemorrhage Intracerebral Hemorrhage is the problem of bleeding occurring inside the brain. It’s likely to trigger a stroke.

Who is at increased risk of ICH?

ICH primarily occurs due to injury. Moreover, there are different lifestyle factors and daily activities that you perform that can increase ICH risk. Some of the known factors that increase the risk of ICH are:

  • Hypertension
  • Heavy alcohol intake
  • Cigarette Smoking
  • Extreme physical exertion

What are the significant symptoms of ICH?

Some of the major signs and symptoms behind ICH are mentioned below:

  • Seizure
  • Coma
  • Vomiting more than twice in 24 hours
  • Confusion drowsiness
  • Headache that comes with neck stiffness
  • Long-lasting and mild headache
  • Headache due to recent blow

Is ICH a common issue in children?

ICH in children is a sign of child abuse, like a direct blow to the head or shaking the child aggressively. In this state, the chances of the shaken baby syndrome are higher. Other factors that can lead to ICH in children are vomiting, seizure, unconsciousness, retinal hemorrhage, and leg & arm fractures.

What are the options to diagnose ICH?

The initial method is to perform CT Scan as it allows to view all the necessary abnormalities in the brain like clots, swelling, and other problems. Sometimes a CT scan does not show any symptoms, and then a lumbar puncture is done. The test allows us to check the cushions present in the spine and brain. Apart from these, additional tests that might be performed for better understanding are:

  • Electroencephalogram, Chest X-ray, and/or Urinalysis
  • Blood study, Complete vascular study, and CBC (complete blood count)
  • Spinal tap to check cerebrospinal fluid, which is present around the brain
  • Conventional angiography to better analyze arteriovenous malformation and aneurysm

How is ICH treated?

Bleeding inside the skull or brain is considered a serious concern, and medical treatment is required without any delay. Undergoing the treatment on time is the biggest factor in taking down the pressure on the skull. Additionally, if there’s a blood clot, then getting it removed is imperative by all means. The surgical options suggested in this case include the following:

  • Craniotomy surgical procedure
    For cerebral aneurysm not ruptured but requires filing or clipping.
  • Burr hole procedure (For brain decompression)
    If there’s bleeding, decompression is the biggest factor in relieving pressure and releasing pooled blood.
  • Computer-guided radiation
    AVM approach use is where nothing is ruptured and direct removal can make a difference. The use of computer-guided radiation allows everything with precision. You may have suggested certain medications reduce the extent of symptoms and control the given state.

Are there any risk factors for ICH?

There are high chances of ICH leading to a complicated state like:

  • Seizures
  • Paralysis
  • Headaches
  • Memory loss
  • Dizziness
  • Difficulty concentrating
  • Children will have brain development issues

Do you need any help?

Schedule your initial consultation

At Neuro Life Brain & Spine Centre, under the expertise of Dr. Amit Mittal, you will get the ultimate care to take care of yourself and analyze the fact how to handle everything.