Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2011 Jan-Feb;108(1):50-4.

Hemorrhagic stroke: intracerebral hemorrhage

Marilyn M Rymer  1
Affiliations
Review

Hemorrhagic stroke: intracerebral hemorrhage

Marilyn M Rymer. Mo Med. 2011 Jan-Feb.

Abstract

Intracerebral hemorrhage (ICH) is a devastating event, carrying a very high morbidity and mortality rate. 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. This, the fourth in a Missouri Medicine series on stroke summarizes the clinical and imaging aspects of making the diagnosis of ICH. Current medical and surgical therapies are discussed as well as predictors of outcome and recommendations for secondary prevention.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Putamenal hypertensive hemorrhage. Typical location for hemorrhage secondary to hypertension.
Figure 2
Figure 2
Lobar hemorrhage likely related to amyloid angiopathyv.
Figure 3
Figure 3
Intraventricular hemorrhage, usually related to hypertension.
Figure 4
Figure 4
Cerebellar hemorrhage. This is the one potential neurosurgical emergency.
None
See this image and copyright information in PMC

References

    1. Flaherty ML, Woo D, Haverbusch M, et al. Racial Variations in Location and Risk of Intracerebral Hemorrhage. Stroke. 2005;36(5):934–937. - PubMed
    1. Counsell C, Boonyakamkul S, Dennis M, et al. Primary Intracerebral Hemorrhage in the Oxfordshire Community Stroke Project, 2: Prognosis. Cerebrovascular Disease. 1995;5:26–34.
    1. Juvela S, Kase C. Advances in Intracerebral Hemorrhage Management. Stroke. 2006;37:301–4. - PubMed
    1. Brott T, Broderick J, Kothari R, et al. Early Hemorrhage Growth in Patients with Intracerebral Hemorrhage. Stroke. 1997;28(1):1–5. - PubMed
    1. Hill MD, Silver FL, Austin PC, et al. Rate of Stroke Recurrence in Patients with Primary Intracerebral Hemorrhage. Stroke. 2003;31(1):123–127. - PubMed

LinkOut - more resources