It is the process of haemorrhage inside the brain. It can occur in any part of brain-like pons, thalamus, cerebellum etc.
- Hypertensive lobar intracerebral haemorrhage.
- Ruptured saccular aneurysm.
- Undetermined causes (with normal blood pressure).
- Trauma bleed in the tumor, bleeding disorders, e.g. thrombocytopenia, haemophilia, leukaemia, DIC etc.
Symptoms
- Onset is rapid generally when the patient is up and active. Age 40. With signs of the site involved.
- Loss of consciousness within few minutes.
- There may be headache and vomiting before the loss of consciousness.
- The haemorrhage can result in motor and sensory deficit with hemiplegia or hemiparesis.
Other symptoms
- Severe headache.
- Nuchal rigidity.
- Vomiting.
- Cerebral seizures
- Drowsiness, confusion etc.
- Incontinence of bowel and bladder.
- Unilateral of bilateral extensor rigidity.
Signs
- Hypertension is maintained or may even rise higher. It is usually of essential type but may be secondary in origin.
- Cardiomegaly may be present.
- Coma: with loss of muscle tone.
- Stertorous breathing.
- Slow pulse and respiration.
Reference: Textbook of Practice of Medicine with Homoeopathic Therapeutics by Kamal Kansal & Rakesh Kaushal
