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
. 2011:111:63-9.
doi: 10.1007/978-3-7091-0693-8_11.

Intracranial hemorrhage: mechanisms of secondary brain injury

Affiliations
Review

Intracranial hemorrhage: mechanisms of secondary brain injury

Josephine Lok et al. Acta Neurochir Suppl. 2011.

Abstract

ICH is a disease with high rates of mortality and morbidity, with a substantial public health impact. Spontaneous ICH (sICH) has been extensively studied, and a large body of data has been accumulated on its pathophysiology. However, the literature on traumatic ICH (tICH) is limited, and further investigations of this important topic are needed. This review will highlight some of the cellular pathways in ICH with an emphasis on the mechanisms of secondary injury due to heme toxicity and to events in the coagulation process that are common to both sICH and tICH.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: The authors have no conflict of interest.

Figures

Figure 1
Figure 1
Representative pathways of secondary brain injury after ICH.

References

    1. Narayan RK, Maas AI, Servadei F, Skolnick BE, Tillinger MN, Marshall LF. Progression of traumatic intracerebral hemorrhage: a prospective observational study. J Neurotrauma. 2008;25:629–639. - PubMed
    1. White CL, Griffith S, Caron JL. Early progression of traumatic cerebral contusions: characterization and risk factors. J Trauma. 2009;67:508–514. discussion 514-505. - PubMed
    1. Park JH, Park SW, Kang SH, Nam TK, Min BK, Hwang SN. Detection of traumatic cerebral microbleeds by susceptibility-weighted image of MRI. J Korean Neurosurg Soc. 2009;46:365–369. - PMC - PubMed
    1. Wu HM, Huang SC, Hattori N, Glenn TC, Vespa PM, Hovda DA, Bergsneider M. Subcortical white matter metabolic changes remote from focal hemorrhagic lesions suggest diffuse injury after human traumatic brain injury. Neurosurgery. 2004;55:1306–1315. discussion 1316-1307. - PubMed
    1. Immonen RJ, Kharatishvili I, Grohn H, Pitkanen A, Grohn OH. Quantitative MRI predicts long-term structural and functional outcome after experimental traumatic brain injury. Neuroimage. 2009;45:1–9. - PubMed

Publication types

MeSH terms

LinkOut - more resources