Chapter

Phenomenology of intracerebral haemorrhage

Michael G. Hennerici, Rolf Kern, Kristina Szabo and Johannes Binder

in Stroke

Published on behalf of Oxford University Press

Published in print July 2012 | ISBN: 9780199582808
Published online July 2012 | e-ISBN: 9780191739651 | DOI: http://dx.doi.org/10.1093/med/9780199582808.003.005

Series: Oxford Neurology Library

Phenomenology of intracerebral        haemorrhage

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• Spontaneous ICH accounts for 10–15% of all strokes and is associated with a higher mortality rate than ischaemic stroke. Common causes include hypertension, cerebral amyloid angiopathy, coagulopathy, vascular anomalies, tumours, and various drugs. • The most important cause of spontaneous ICH is hypertension being the single greatest modifiable risk factor. The relative risk for ICH in hypertensive individuals is 3.9–13.3 times that of normotensive individuals. The risk is particularly high with non-compliance to antihypertensive treatment. • Spontaneous ICH is characterized by vessel rupture leading to extravasation of blood into the brain parenchyma. The size of the haematoma markedly increases in up to 40% of patients in the initial phase.

Chapter.  1989 words.  Illustrated.

Subjects: Neurology

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