Intraparenchymal cerebral hemorrhage

This is bleeding inside the brain. If it is small it causes lesions only in that area, but if it is large it can cause damage to other more distant areas subjected to compression, and, in this case, it is a medical emergency and you must notify the ambulance service or attend a hospital with a neurosurgery department, as the increased pressure inside the skull can lead to death in up to 40% of cases. The bleeding can be spontaneous (occurs more in arterial hypertension, diabetes, smokers) or secondary to trauma. The signs and symptoms are a rapidly progressive headache which can be associated - depending on where the bleeding occurs - with loss of strength or sensitivity, speech disorders, visual disorders and impaired consciousness. With this clinical suspicion, a tomography/magnetic resonance imaging scan is required to help indicate whether brain surgery is required. Analgesics are always required and drugs for seizures are usually required. Warning signs: very intense headache that does not subside with painkillers, low level of consciousness, epilepsy/seizures and very high blood pressure.