Suzan Osman/ LinkedIn ; Dr. S.0 MIKAYE / LinkedIn
May 27, 2026, 13:56
Suzan Osman: The Major Types of Intracranial Hemorrhage in Clinical Practice
Suzan Osman, Registered Nurse at Abu Dhabi Health Services Company, shared a post on LinkedIn:
“Types of Brain Bleeding
Brain bleeding (intracranial hemorrhage) is bleeding inside the skull. It is classified according to the location of the bleed.
1. Epidural Hemorrhage:
- Bleeding between the skull and dura mater
- Usually caused by head trauma and skull fracture
- Commonly arterial bleeding
- Rapidly progressive and life-threatening
2. Subdural Hemorrhage:
- Bleeding between the dura mater and arachnoid mater
- Usually due to tearing of bridging veins
- Common in elderly patients and after trauma
- Can be acute or chronic
3. Subarachnoid Hemorrhage:
- Bleeding between the arachnoid and pia mater
- Often caused by ruptured cerebral aneurysm
- Presents with sudden severe ‘thunderclap’ headache
- Considered a neurosurgical emergency
4. Intracerebral Hemorrhage:
- Bleeding within the brain tissue itself
- Commonly caused by hypertension
- A form of hemorrhagic stroke
- May cause focal neurological deficits
5. Intraventricular Hemorrhage:
- Bleeding into the ventricular system of the brain
- Seen in premature infants or severe brain injury/stroke
- May lead to hydrocephalus and raised intracranial pressure
Common Symptoms:
- Severe headache
- Vomiting
- Weakness or paralysis
- Altered consciousness
- Seizures
- Speech or vision problems
Major Causes:
- Trauma
- Hypertension
- Ruptured aneurysm
- Anticoagulant use
- Vascular malformations
- Brain tumors
Diagnosis:
- CT scan of the head
- MRI brain
- Cerebral angiography in selected cases
Management:
- Emergency stabilization
- Blood pressure control
- Surgical evacuation when indicated
- Treatment of underlying cause
- Intensive neurological monitoring
Credit for Samwel Mikaye”

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