Hemorrhagic stroke - Revision history

Danbot: Strip excess bold

2026-03-22T09:26:20Z

Strip excess bold

Danbot: Major expansion from stub: ICH score, BP targets (INTERACT2), anticoagulation reversal (PCC/idarucizumab/andexanet), spot sign, PATCH trial, cerebellar hemorrhage urgency, location-specific findings, references with PMIDs

2026-03-21T20:01:10Z

Major expansion from stub: ICH score, BP targets (INTERACT2), anticoagulation reversal (PCC/idarucizumab/andexanet), spot sign, PATCH trial, cerebellar hemorrhage urgency, location-specific findings, references with PMIDs

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Rossdonaldson1: /* Background */

2025-10-22T22:10:33Z

Background

← Older revision		Revision as of 22:10, 22 October 2025
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	==Background==		==Background==
	[[File:Gehirn, lateral - Lobi + Stammhirn + Cerebellum eng.svg\|thumb\|Sagital view of the brain.]]		[[File:Gehirn, lateral - Lobi + Stammhirn + Cerebellum eng.svg\|thumb\|Sagital view of the brain.]]
			[[File:Circle of Willis en.png\|thumb\|Circulation within the Circle of Willis]]
	[[File:23-Sensory-Homonculus.png\|thumb\|Sensory Homonculus - courtesy AnatomyZone.com]]		[[File:23-Sensory-Homonculus.png\|thumb\|Sensory Homonculus - courtesy AnatomyZone.com]]
	*Also known as "spontaneous intracerebral hemorrhage" and sometimes generally as "cerebral hemorrhage"		*Also known as "spontaneous intracerebral hemorrhage" and sometimes generally as "cerebral hemorrhage"

Rossdonaldson1: /* Background */

2025-10-22T22:02:53Z

Background

← Older revision		Revision as of 22:02, 22 October 2025
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	==Background==		==Background==
			[[File:Gehirn, lateral - Lobi + Stammhirn + Cerebellum eng.svg\|thumb\|Sagital view of the brain.]]
	[[File:23-Sensory-Homonculus.png\|thumb\|Sensory Homonculus - courtesy AnatomyZone.com]]		[[File:23-Sensory-Homonculus.png\|thumb\|Sensory Homonculus - courtesy AnatomyZone.com]]
	*Also known as "spontaneous intracerebral hemorrhage" and sometimes generally as "cerebral hemorrhage"		*Also known as "spontaneous intracerebral hemorrhage" and sometimes generally as "cerebral hemorrhage"

Rossdonaldson1 at 19:42, 22 June 2020

2020-06-22T19:42:35Z

← Older revision		Revision as of 19:42, 22 June 2020
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	==Clinical Features==		==Clinical Features==
	*CT required as it is often clinically indistinguishable from SAH, ischemic stroke		''Often clinically indistinguishable from [[SAH]] and [[ischemic stroke]]''
	*Signs and symptoms suggestive of hemorrhagic stroke		*Signs and symptoms suggestive of hemorrhagic stroke
	**[[Vomiting]]		**[[Vomiting]]
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	**[[Coma]] or decreased LOC		**[[Coma]] or decreased LOC
	**Symptom progression over minutes or hours all suggest ICH		**Symptom progression over minutes or hours all suggest ICH
	*HA and nausea and vomiting often precede the neurologic deficit		*[[Headache]] and [[nausea and vomiting]] often precede the neurologic deficit
	*[[focal neuro\|Findings]] dictated by location of bleed (in order of most common)		*[[focal neuro\|Findings]] dictated by location of bleed (in order of most common)
	**Putamen		**Putamen

Rossdonaldson1: /* Management */

2020-06-22T17:46:53Z

Management

← Older revision		Revision as of 17:46, 22 June 2020
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	{{AHA spontaneous ICM BP guidelines}}		{{AHA spontaneous ICM BP guidelines}}
	{{ICH Coagulopathy Guidelines}}		{{ICH Coagulopathy Guidelines}}
			{{BP Goals in Acute Stroke}}

	==Disposition==		==Disposition==

ClaireLewis at 03:13, 3 October 2019

2019-10-03T03:13:34Z

← Older revision		Revision as of 03:13, 3 October 2019
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	*CT required as it is often clinically indistinguishable from SAH, ischemic stroke		*CT required as it is often clinically indistinguishable from SAH, ischemic stroke
	*Signs and symptoms suggestive of hemorrhagic stroke		*Signs and symptoms suggestive of hemorrhagic stroke
	**Vomiting		**[[Vomiting]]
	**SBP >220 mm Hg		**[[hypertensive emergency\|SBP >220 mm Hg]]
	**Severe headache		**Severe [[headache]]
	**Coma or decreased LOC		**[[Coma]] or decreased LOC
	**Symptom progression over minutes or hours all suggest ICH		**Symptom progression over minutes or hours all suggest ICH
	*HA and nausea and vomiting often precede the neurologic deficit		*HA and nausea and vomiting often precede the neurologic deficit
	*Findings dictated by location of bleed (in order of most common)		*[[focal neuro\|Findings]] dictated by location of bleed (in order of most common)
	**Putamen		**Putamen
	**Thalamus		**Thalamus

Rossdonaldson1: /* Background */

2019-09-06T00:58:02Z

Background

← Older revision		Revision as of 00:58, 6 September 2019
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	==Background==		==Background==
			[[File:23-Sensory-Homonculus.png\|thumb\|Sensory Homonculus - courtesy AnatomyZone.com]]
	*Also known as "spontaneous intracerebral hemorrhage" and sometimes generally as "cerebral hemorrhage"		*Also known as "spontaneous intracerebral hemorrhage" and sometimes generally as "cerebral hemorrhage"
	*~10% of all acute strokes		*~10% of all acute strokes
	*Warfarin use is significant risk factor		*[[Warfarin]] use is significant risk factor
	**Accounts for 5-15% of all cases		**Accounts for 5-15% of all cases
	**Risk of ICH doubles for each 0.5 increase in INR above 4.5		**Risk of ICH doubles for each 0.5 increase in INR above 4.5

Rossdonaldson1: /* Evaluation */

2019-09-06T00:56:35Z

Evaluation

← Older revision		Revision as of 00:56, 6 September 2019
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	[[File:Intracerebral heamorrage.jpg\|thumb\|[[Hemorrhagic stroke]] (i.e. spontaneous intracranial hemorrhage).]]		[[File:Intracerebral heamorrage.jpg\|thumb\|[[Hemorrhagic stroke]] (i.e. spontaneous intracranial hemorrhage).]]
	[[File:Posterior fossa hemorrhage.jpg\|thumb\|[[Hemorrhagic stroke]] in the posterior fossa.]]		[[File:Posterior fossa hemorrhage.jpg\|thumb\|[[Hemorrhagic stroke]] in the posterior fossa.]]
			[[File:Left MCA Stroke.png\|thumb\|12-lead ECG of a patient with acute stroke, showing large deeply inverted T-waves.]]
	{{Stroke workup}}		{{Stroke workup}}

Rossdonaldson1: /* Evaluation */

2019-09-06T00:40:04Z

Evaluation

← Older revision		Revision as of 00:40, 6 September 2019
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	==Evaluation==		==Evaluation==
	[[File:Intracerebral heamorrage.jpg\|thumb\|Hemorrhagic stroke (i.e. spontaneous intracranial hemorrhage).]]		[[File:Intracerebral heamorrage.jpg\|thumb\|[[Hemorrhagic stroke]] (i.e. spontaneous intracranial hemorrhage).]]
	[[File:Posterior fossa hemorrhage.jpg\|thumb\|Hemorrhagic stroke in the posterior fossa.]]		[[File:Posterior fossa hemorrhage.jpg\|thumb\|[[Hemorrhagic stroke]] in the posterior fossa.]]
	{{Stroke workup}}		{{Stroke workup}}