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Suzan Osman: The Major Types of Intracranial Hemorrhage in Clinical Practice
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”

Suzan Osman: The Major Types of Intracranial Hemorrhage in Clinical Practice

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