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The bleed can be very small without any significant effect on surrounding brain or large hemorrhage that exerts mass effect on adjacent brain. Follow up CT scan is recommended. Those with extension of bleed into the ventricular system , expansion of bleeding, or increasing cerebral oedema on CT scan gives poorer prognosis.
Intraventricular hemorrhage, or bleeding into the ventricles of the brain, which may occur in 30–50% of patients, is also associated with long-term disability and a poor prognosis. [7] Brain herniation is associated with poor prognoses. [7]
Cerebral amyloid angiopathy may cause intraparenchymal hemorrhage even in patients without elevated blood pressure. Unlike hypertension, cerebral amyloid angiopathy does not typically affect blood vessels to deep brain structures. Instead, it is most commonly associated with hemorrhage of small vessels in the cerebral cortex. [2]
Subarachnoid hemorrhage may also occur in people who have had a head injury. Symptoms may include headache, decreased level of consciousness and hemiparesis (weakness of one side of the body). SAH is a frequent occurrence in traumatic brain injury and carries a poor prognosis if it is associated with deterioration in the level of consciousness ...
Symptoms of chronic subdural hematomas are usually delayed more than three weeks after injury. [1] If the bleeds are large enough to put pressure on the brain, signs of increased intracranial pressure or brain damage will be present. [3] Other symptoms of subdural hematoma can include any combination of the following: [7]
Intraventricular hemorrhage (IVH), also known as intraventricular bleeding, is a bleeding into the brain's ventricular system, where the cerebrospinal fluid is produced and circulates through towards the subarachnoid space. It can result from physical trauma or from hemorrhagic stroke.
A subdural hygroma (SDG) is a collection of cerebrospinal fluid (CSF), without blood, located under the dural membrane of the brain. Most subdural hygromas are believed to be derived from chronic subdural hematomas. They are commonly seen in elderly people after minor trauma but can also be seen in children following infection or trauma.
In transcalvarial herniation, the brain squeezes through a fracture or a surgical site in the skull. [7] Also called "external herniation", this type of herniation may occur during craniectomy, surgery in which a flap of skull is removed, the protruding brain region preventing the piece of skull from being replaced during the operation. [1]