Intracerebral Hemorrhage

2018 ◽  
Author(s):  
Natalie P. Kreitzer ◽  
Opeolu Adeoye
Keyword(s):  
Intracerebral Hemorrhage ◽  
Vascular Malformations ◽  
Hemorrhagic Transformation ◽  
Amyloid Angiopathy ◽  
Reversal Agents ◽  
Computed Tomographic ◽  
Common Causes ◽  
Key Words Intracerebral Hemorrhage ◽  
Criteria For Diagnosis ◽  
Neurologic Emergency

Intracerebral hemorrhage can be classified as either secondary (due to trauma, vascular malformations, aneurysms, tumors, or hemorrhagic transformation of ischemic stroke) or primary (without a clear secondary cause). Intracerebral hemorrhage is a neurologic emergency, and leads to significant death and disability each year; care should be expedited and emergency departments should be equipped to appropriately care for and manage these patients. This review covers the risk factors, natural history, pathophysiology, stabilization and assessment, diagnosis and treatment, and disposition and outcomes for patients with intracerebral hemorrhage. Figures show head computed tomographic scans demonstrating a left basal ganglia intracerebral hemorrhage, and an algorithm of management of intracerebral hemorrhage in the emergency department. Tables list some common causes of intracerebral hemorrhage, Boston criteria for diagnosis of cerebral amyloid angiopathy, mechanism of action of common anticoagulants, and suggested reversal agents. This review contains 2 figures, 6 tables, and 59 references. Key words: Intracerebral hemorrhage; intracranial hemorrhage; intraparenchymal hemorrhage; hemorrhagic stroke; hypertensive hemorrhage; spontaneous intracerebral hemorrhage; ICH; cerebral bleeds

Intracerebral Hemorrhage

2018 ◽  
Author(s):  
Natalie P. Kreitzer ◽  
Opeolu Adeoye
Keyword(s):  
Intracerebral Hemorrhage ◽  
Vascular Malformations ◽  
Hemorrhagic Transformation ◽  
Amyloid Angiopathy ◽  
Reversal Agents ◽  
Computed Tomographic ◽  
Common Causes ◽  
Key Words Intracerebral Hemorrhage ◽  
Criteria For Diagnosis ◽  
Neurologic Emergency

Intracerebral hemorrhage can be classified as either secondary (due to trauma, vascular malformations, aneurysms, tumors, or hemorrhagic transformation of ischemic stroke) or primary (without a clear secondary cause). Intracerebral hemorrhage is a neurologic emergency, and leads to significant death and disability each year; care should be expedited and emergency departments should be equipped to appropriately care for and manage these patients. This review covers the risk factors, natural history, pathophysiology, stabilization and assessment, diagnosis and treatment, and disposition and outcomes for patients with intracerebral hemorrhage. Figures show head computed tomographic scans demonstrating a left basal ganglia intracerebral hemorrhage, and an algorithm of management of intracerebral hemorrhage in the emergency department. Tables list some common causes of intracerebral hemorrhage, Boston criteria for diagnosis of cerebral amyloid angiopathy, mechanism of action of common anticoagulants, and suggested reversal agents. This review contains 2 figures, 6 tables, and 58 references. Key words: Intracerebral hemorrhage; intracranial hemorrhage; intraparenchymal hemorrhage; hemorrhagic stroke; hypertensive hemorrhage; spontaneous intracerebral hemorrhage; ICH; cerebral bleeds

Intracerebral Hemorrhage

2015 ◽  
Author(s):  
Natalie P. Kreitzer ◽  
Opeolu Adeoye
Keyword(s):  
Intracerebral Hemorrhage ◽  
Vascular Malformations ◽  
Hemorrhagic Transformation ◽  
Amyloid Angiopathy ◽  
Reversal Agents ◽  
Computed Tomographic ◽  
Common Causes ◽  
Cerebral Amyloid ◽  
Criteria For Diagnosis ◽  
Neurologic Emergency

Intracerebral hemorrhage can be classified as either secondary (due to trauma, vascular malformations, aneurysms, tumors, or hemorrhagic transformation of ischemic stroke) or primary (without a clear secondary cause). Intracerebral hemorrhage is a neurologic emergency, and leads to significant death and disability each year; care should be expedited and emergency departments should be equipped to appropriately care for and manage these patients. This review covers the risk factors, natural history, pathophysiology, stabilization and assessment, diagnosis and treatment, and disposition and outcomes for patients with intracerebral hemorrhage. Figures show head computed tomographic scans demonstrating a left basal ganglia intracerebral hemorrhage, and an algorithm of management of intracerebral hemorrhage in the emergency department. Tables list some common causes of intracerebral hemorrhage, Boston criteria for diagnosis of cerebral amyloid angiopathy, mechanism of action of common anticoagulants, and suggested reversal agents. This review contains 2 highly rendered figures, 4 tables, and 79 references.

Acute intracerebral hemorrhage with a spot sign during computed tomographic angiography

2016 ◽  
Vol 16 (8) ◽  
pp. 976-977
Author(s):  
Kwang Hoon Kim ◽  
Hyun Goo Kang ◽  
Seong Hwan Ahn ◽  
Ji Yeon Chung ◽  
In Sung Choo ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Computed Tomographic Angiography ◽  
Spot Sign ◽  
Computed Tomographic ◽  
Acute Intracerebral Hemorrhage ◽  
Tomographic Angiography

Clinical and neuropathologic analysis of intracerebral hemorrhage in patients with cerebral amyloid angiopathy

2019 ◽  
Vol 176 ◽  
pp. 110-115
Author(s):  
Taro Yanagawa ◽  
Masaki Takao ◽  
Masami Yasuda ◽  
Tomoya Kamide ◽  
Hiroki Sato ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Cerebral Amyloid Angiopathy ◽  
Amyloid Angiopathy ◽  
Cerebral Amyloid

scholarly journals OVERLAP BETWEEN COMPUTED TOMOGRAPHIC FEATURES OF HEMORRHAGIC CEREBRAL VENOUS THROMBOSIS AND AMYLOID ANGIOPATHY

2019 ◽  
Author(s):  
Khaled Afifi ◽  
Susanna Zuurbier ◽  
Carlos Garcia Esperon ◽  
Paolo Costa ◽  
Irene Escudero-Martinez ◽  
...  
Keyword(s):  
Venous Thrombosis ◽  
Cerebral Venous Thrombosis ◽  
Amyloid Angiopathy ◽  
Computed Tomographic

scholarly journals Spectrum of Intracerebral Hemorrhage in Children: A Report from PICU of a Resource Limited Country

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Qalab Abbas ◽  
Qurat ul Ain Merchant ◽  
Bushra Nasir ◽  
Anwar ul Haque ◽  
Basit Salam ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Medical Records ◽  
Vascular Malformations ◽  
Pediatric Intensive Care ◽  
Conventional Angiography ◽  
Altered Level ◽  
Vascular Intervention ◽  
Resource Limited ◽  
Level Of Consciousness ◽  
Gender Presentation

Intracerebral hemorrhage (ICH) in children is a rare but disabling disease that accounts for almost half cases of stroke. We report our experience of ICH in children. Retrospective review of medical records of children (1 month-16 years) admitted in Pediatric Intensive Care Unit between January 2007 and December 2014 was done. Data collected included age, gender, presentation, examination findings, neuroimaging done (CT, MRI, and angiography) management (conservative/intervention), and outcome. Results are presented as frequency and percentages. Of the total 50 patients, 58% were male and 26% were <1 year. On presentation 44% had vomiting, 42% had seizures, and GCS < 8 while 40% had altered level of consciousness. Single bleed was present in 88%, 94% had supratentorial bleed, and 32% had intraventricular extension. 72% had bleed volume of <30 mL and 8% had >60 mL. CT scan was done in 98% patients and MRI in 34%, while 6% underwent conventional angiography. 60% patients were managed conservatively, 36% underwent neurosurgical intervention, and 6% underwent radiological vascular intervention. Hematologic causes were identified in 52% patients and vascular malformations in 14% and in 26% no cause could be identified. 26% of patients expired.

Abstract P411: Prevalence, Characteristics and Outcomes of Undetermined Intracerebral Hemorrhage: A Systematic Review and Meta-Analysis

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Konark MALHOTRA ◽  
Christina Zompola ◽  
Aikaterini Theodorou ◽  
Aristeidis Katsanos ◽  
Ashkan Shoamanesh ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intracerebral Hemorrhage ◽  
Meta Analysis ◽  
Amyloid Angiopathy ◽  
Short Term ◽  
Pooled Prevalence ◽  
Subgroup Analyses ◽  
Short Term Mortality ◽  
Cerebral Amyloid ◽  
Undetermined Etiology

Objective: We sought to determine the prevalence, radiological characteristics, and clinical outcomes of intracerebral hemorrhage (ICH) of undetermined etiology. Methods: Systematic review and meta-analysis of studies involving patients with spontaneous ICH was conducted to assess the prevalence and clinical-radiological characteristics of undetermined ICH. Additionally, we assessed the rates for ICH secondary to hypertensive arteriopathy (HTN-A) and cerebral amyloid angiopathy (CAA). Subgroup analyses were performed based on the use of a) etiology-oriented ICH classification, b) detailed neuroimaging, and c) Boston criteria among CAA-ICH. Results: 24 studies were included (n=15,828; mean age: 64.8 years, males: 60.8%). The pooled prevalence of HTN-A ICH, undetermined ICH and CAA-ICH were 50% (95%CI: 43-58%), 18% (95%CI: 13-23%), and 12% (95%CI: 7-17%; p<0.001 between subgroups). The volume of ICH was largest in CAA-ICH 24.7mL (95%CI: 19.7-29.8mL), followed by HTN-A ICH 16.2mL (95%CI: 10.9-21.5mL) and undetermined ICH 15.4mL (95%CI: 6.2-24.5mL). Among patients with undetermined ICH, the rates of short-term mortality and intraventricular hemorrhage were 33% (95%CI: 25-42%) and 38% (95%CI: 28-48%), respectively. Subgroup analysis demonstrated a higher rate of undetermined ICH among studies that did not use an etiology-oriented classification (22%; 95%CI: 15-29%). No difference was observed between studies based on the completion of detailed neuroimaging to assess the rates of undetermined ICH (p=0.62). Conclusions: The etiology of spontaneous ICH remains undetermined among one in five patients in studies using etiology-oriented classification and among one in four patients in studies that avoid using etiology-oriented classification. The short-term mortality in undetermined ICH is high despite the relatively small ICH volume. Our findings suggest the use of etiology-oriented classification to approach ICH patients (Figure).

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