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Что (кто) такое cerebral hemorrhage - определение
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![Spontaneous ICH with [[hydrocephalus]] on CT scan<ref name="Yadav07"/>](https://commons.wikimedia.org/wiki/Special:FilePath/Intracerebral hemorrhage.jpg?width=200 "Spontaneous ICH with [[hydrocephalus]] on CT scan<ref name=\"Yadav07\"/>")
![Amsterdam Gait Classification]] facilitates the assessment of the gait pattern in CP patients. It helps to facilitate communication in the interdisciplinary team between those affected, doctors, physiotherapists and orthotists.](https://commons.wikimedia.org/wiki/Special:FilePath/Amsterdam Gait Classification gb.jpg?width=200 "Amsterdam Gait Classification]] facilitates the assessment of the gait pattern in CP patients. It helps to facilitate communication in the interdisciplinary team between those affected, doctors, physiotherapists and orthotists.")
![Researchers are developing an electrical stimulation device specifically for children with cerebral palsy, who have [[foot drop]], which causes tripping when walking.](https://commons.wikimedia.org/wiki/Special:FilePath/Cerebral palsy.jpg?width=200 "Researchers are developing an electrical stimulation device specifically for children with cerebral palsy, who have [[foot drop]], which causes tripping when walking.")
![Child with cerebral palsy and [[orthotics]] with adjustable functional elements to improve safety when standing and walking.](https://commons.wikimedia.org/wiki/Special:FilePath/Cerebralparese Orthese orthotics.jpg?width=200 "Child with cerebral palsy and [[orthotics]] with adjustable functional elements to improve safety when standing and walking.")
![[[Micrograph]] showing a fetal ([[placenta]]l) vein thrombosis, in a case of [[fetal thrombotic vasculopathy]]. This is associated with cerebral palsy and is suggestive of a [[hypercoagulable state]] as the underlying cause.](https://commons.wikimedia.org/wiki/Special:FilePath/Fetal thrombotic vasculopathy - intermed mag.jpg?width=200 "[[Micrograph]] showing a fetal ([[placenta]]l) vein thrombosis, in a case of [[fetal thrombotic vasculopathy]]. This is associated with cerebral palsy and is suggestive of a [[hypercoagulable state]] as the underlying cause.")
Википедия
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Intracerebral hemorrhage (ICH), also known as cerebral bleed, intraparenchymal bleed, and haemorrhagic stroke, is a sudden bleeding into the tissues of the brain, into its ventricles, or into both. An ICH is one kind of bleeding within the skull and one kind of stroke. Symptoms can include headache, one-sided weakness, vomiting, seizures, decreased level of consciousness, and neck stiffness. Often, symptoms get worse over time. Fever is also common.
Causes include brain trauma, aneurysms, arteriovenous malformations, and brain tumors. The biggest risk factors for spontaneous bleeding are high blood pressure and amyloidosis. Other risk factors include alcoholism, low cholesterol, blood thinners, and cocaine use. Diagnosis is typically by CT scan. Other conditions that may present similarly include ischemic stroke.
Treatment should typically be carried out in an intensive care unit. Guidelines recommend decreasing the blood pressure to a systolic of 140 mmHg. Blood thinners should be reversed if possible and blood sugar kept in the normal range. Surgery to place a ventricular drain may be used to treat hydrocephalus, but corticosteroids should not be used. Surgery to remove the blood is useful in certain cases.
Cerebral bleeding affects about 2.5 per 10,000 people each year. It occurs more often in males and older people. About 44% of those affected die within a month. A good outcome occurs in about 20% of those affected. Intracerebral hemorrhage, a type of hemorrhagic stroke, was first distinguished from ischemic strokes due to insufficient blood flow, so called "leaks and plugs", in 1823.
