Hemorrhagic Stroke: Intracerebral Hemorrhage: Difference between revisions

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== Clinically Relevant Anatomy<br> ==
== Introduction  ==
15% of acute strokes are hemorrhagic strokes which are caused by bursting of a blood vessel i.e. acute hemorrhage. There are two main types of hemorrhagic strokes, intracerebral hemorrhage (ICH) and subarachnoid hemorrhage which accounts for about 5% of all strokes. This page is about ICH ie bleeding within the brain tissue itself — a life-threatening type of stroke. A stroke occurs when the brain is deprived of oxygen and blood supply<ref>Tadi P, Lui F. [https://www.ncbi.nlm.nih.gov/books/NBK535369/ Acute Stroke (Cerebrovascular Accident)]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK535369/ (last accessed 31.12.2019)</ref>.
* Intracerebral hemorrhage (ICH) is a devastating event, carrying a very high morbidity and mortality rate that have not changed over the last 30 years.
* Hypertension and age-related amyloid angiopathy are the strongest risk factors for ICH, but smoking, anticoagulation with warfarin, excessive alcohol intake and cocaine also increase risk.<ref name=":0">Rymer MM. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188453/ Hemorrhagic stroke: intracerebral hemorrhage]. Missouri medicine. 2011 Jan;108(1):50.Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188453/ (last accessed 31.12.2019)</ref>
* At one year, mortality ranges from 51% to 65% depending on the location of the hemorrhage. Half of these deaths occur in the first two days and at six months, only 20% of patients are expected to be independent. 
* The incidence of hemorrhage increases exponentially with age and is higher in men than in women<ref name=":0" />.


=== Clinically Relevant Anatomy ===
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== Mechanism of Injury / Pathological Process<br>  ==
== Mechanism of Injury / Pathological Process   ==


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add links to outcome measures here (see [[Outcome Measures|Outcome Measures Database]])  
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== Management / Interventions<br>  ==
== Management / Interventions   ==


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add text here relating to management approaches to the condition<br>  


== Differential Diagnosis<br>  ==
== Differential Diagnosis   ==


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== Resources <br>  ==
== Resources   ==


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Revision as of 07:20, 31 December 2019

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Original Editor - Lucinda hampton Top Contributors - Lucinda hampton, Kim Jackson, Tony Lowe and Dinu Dixon

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Introduction[edit | edit source]

15% of acute strokes are hemorrhagic strokes which are caused by bursting of a blood vessel i.e. acute hemorrhage. There are two main types of hemorrhagic strokes, intracerebral hemorrhage (ICH) and subarachnoid hemorrhage which accounts for about 5% of all strokes. This page is about ICH ie bleeding within the brain tissue itself — a life-threatening type of stroke. A stroke occurs when the brain is deprived of oxygen and blood supply[1].

  • Intracerebral hemorrhage (ICH) is a devastating event, carrying a very high morbidity and mortality rate that have not changed over the last 30 years.
  • Hypertension and age-related amyloid angiopathy are the strongest risk factors for ICH, but smoking, anticoagulation with warfarin, excessive alcohol intake and cocaine also increase risk.[2]
  • At one year, mortality ranges from 51% to 65% depending on the location of the hemorrhage. Half of these deaths occur in the first two days and at six months, only 20% of patients are expected to be independent. 
  • The incidence of hemorrhage increases exponentially with age and is higher in men than in women[2].

Clinically Relevant Anatomy[edit | edit source]

add text here relating to clinically relevant anatomy of the condition

Mechanism of Injury / Pathological Process[edit | edit source]

add text here relating to the mechanism of injury and/or pathology of the condition

Clinical Presentation[edit | edit source]

add text here relating to the clinical presentation of the condition

Diagnostic Procedures[edit | edit source]

add text here relating to diagnostic tests for the condition

Outcome Measures[edit | edit source]

add links to outcome measures here (see Outcome Measures Database)

Management / Interventions[edit | edit source]

add text here relating to management approaches to the condition

Differential Diagnosis[edit | edit source]

add text here relating to the differential diagnosis of this condition

Resources[edit | edit source]

add appropriate resources here

References[edit | edit source]

  1. Tadi P, Lui F. Acute Stroke (Cerebrovascular Accident). Available from: https://www.ncbi.nlm.nih.gov/books/NBK535369/ (last accessed 31.12.2019)
  2. 2.0 2.1 Rymer MM. Hemorrhagic stroke: intracerebral hemorrhage. Missouri medicine. 2011 Jan;108(1):50.Available from:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188453/ (last accessed 31.12.2019)