Ver el código de «Hemorrhagic stroke»

==Background==
[[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]]
*Also known as "spontaneous intracerebral hemorrhage" and sometimes generally as "cerebral hemorrhage"
*~10% of all acute strokes
*[[Warfarin]] use is significant risk factor
**Accounts for 5-15% of all cases
**Risk of ICH doubles for each 0.5 increase in INR above 4.5

{{Hemorrhagic Stroke Cause}}

==Clinical Features==
''Often clinically indistinguishable from [[SAH]] and [[ischemic stroke]]''
*Signs and symptoms suggestive of hemorrhagic stroke
**[[Vomiting]]
**[[hypertensive emergency|SBP >220 mm Hg]]
**Severe [[headache]]
**[[Coma]] or decreased LOC
**Symptom progression over minutes or hours all suggest ICH
*[[Headache]] and [[nausea and vomiting]] often precede the neurologic deficit
*[[focal neuro|Findings]] dictated by location of bleed (in order of most common)
**Putamen
**Thalamus
**Pons
**Cerebellum
*The ICH score can predict mortality

{{Stroke Syndromes}}

==Differential Diagnosis==
{{Intracranial hemorrhage DDX}}

==Evaluation==
[[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:Left MCA Stroke.png|thumb|12-lead ECG of a patient with acute stroke, showing large deeply inverted T-waves.]]
{{Stroke workup}}

==Management==
{{ICH Treatment}}
{{Intubation with ICH}}
{{AHA spontaneous ICM BP guidelines}}
{{ICH Coagulopathy Guidelines}}
{{BP Goals in Acute Stroke}}

==Disposition==
*Admission for acute or subacute

==See Also==
*[[Intracranial Hemorrhage (Main)]]
*[[Stroke (main)]]

==External Links==
*[http://emcrit.org/podcasts/reversal-head-bleeds/ EMcrit Podcast 17:Reversal of Anti-coagulant and Anti-platelet Drugs in Head Bleeds]
*[https://www.mdcalc.com/intracerebral-hemorrhage-ich-score The ICH score]

==References==
<references/>

[[Category:Neurology]]