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Intracranial Hemorrhage, Hypertensive

MedGen UID:
155952
•Concept ID:
C0751891
•
Pathologic Function
Synonyms: Hemorrhage, Hypertensive Intracranial; Hemorrhage, Intracranial Hypertensive; Hemorrhages, Hypertensive Intracranial; Hemorrhages, Intracranial Hypertensive; Hypertensive Hemorrhage, Intracranial; Hypertensive Hemorrhages, Intracranial; Hypertensive Intracranial Hemorrhage; Hypertensive Intracranial Hemorrhages; Intracranial Hemorrhages, Hypertensive; Intracranial Hypertensive Hemorrhage; Intracranial Hypertensive Hemorrhages

Definition

Bleeding within the SKULL that is caused by systemic HYPERTENSION, usually in association with INTRACRANIAL ARTERIOSCLEROSIS. Hypertensive hemorrhages are most frequent in the BASAL GANGLIA; CEREBELLUM; PONS; and THALAMUS; but may also involve the CEREBRAL CORTEX, subcortical white matter, and other brain structures. [from MeSH]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVIntracranial Hemorrhage, Hypertensive

Professional guidelines

PubMed

Endoscopic third ventriculostomy in the management of communicating hydrocephalus: a preliminary study.
Hailong F, Guangfu H, Haibin T, Hong P, Yong C, Weidong L, Dongdong Z
J Neurosurg 2008 Nov;109(5):923-30. doi: 10.3171/JNS/2008/109/11/0923. PMID: 18976086

Recent clinical studies

Etiology

Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke.
Salvetti M, Paini A, Bertacchini F, Aggiusti C, Stassaldi D, Verzeri L, Saccà G, Muiesan ML
High Blood Press Cardiovasc Prev 2018 Jun;25(2):191-195. Epub 2018 Jun 4 doi: 10.1007/s40292-018-0262-3. PMID: 29869130
International epidemiology of intracerebral hemorrhage.
Ikram MA, Wieberdink RG, Koudstaal PJ
Curr Atheroscler Rep 2012 Aug;14(4):300-6. doi: 10.1007/s11883-012-0252-1. PMID: 22538431Free PMC Article
Impact of hypertension on stroke.
Dubow J, Fink ME
Curr Atheroscler Rep 2011 Aug;13(4):298-305. doi: 10.1007/s11883-011-0187-y. PMID: 21626308
Intracerebral hemorrhage and hypertension.
Sessa M
Neurol Sci 2008 Sep;29 Suppl 2:S258-9. doi: 10.1007/s10072-008-0956-8. PMID: 18690511
Update on intracerebral haemorrhage.
Ferro JM
J Neurol 2006 Aug;253(8):985-99. Epub 2006 May 6 doi: 10.1007/s00415-006-0201-4. PMID: 16680558

Diagnosis

Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke.
Salvetti M, Paini A, Bertacchini F, Aggiusti C, Stassaldi D, Verzeri L, Saccà G, Muiesan ML
High Blood Press Cardiovasc Prev 2018 Jun;25(2):191-195. Epub 2018 Jun 4 doi: 10.1007/s40292-018-0262-3. PMID: 29869130
Emergency neurological life support: intracerebral hemorrhage.
Andrews CM, Jauch EC, Hemphill JC 3rd, Smith WS, Weingart SD
Neurocrit Care 2012 Sep;17 Suppl 1:S37-46. doi: 10.1007/s12028-012-9757-2. PMID: 22965322
International epidemiology of intracerebral hemorrhage.
Ikram MA, Wieberdink RG, Koudstaal PJ
Curr Atheroscler Rep 2012 Aug;14(4):300-6. doi: 10.1007/s11883-012-0252-1. PMID: 22538431Free PMC Article
Clinical syndromes and management of intracerebral hemorrhage.
Ko SB, Choi HA, Lee K
Curr Atheroscler Rep 2012 Aug;14(4):307-13. doi: 10.1007/s11883-012-0251-2. PMID: 22538430
The diagnosis and management of cerebrovascular disease in diabetes.
Phipps MS, Jastreboff AM, Furie K, Kernan WN
Curr Diab Rep 2012 Jun;12(3):314-23. doi: 10.1007/s11892-012-0271-x. PMID: 22492061

Therapy

Therapeutic Approach to Hypertensive Emergencies: Hemorrhagic Stroke.
Salvetti M, Paini A, Bertacchini F, Aggiusti C, Stassaldi D, Verzeri L, Saccà G, Muiesan ML
High Blood Press Cardiovasc Prev 2018 Jun;25(2):191-195. Epub 2018 Jun 4 doi: 10.1007/s40292-018-0262-3. PMID: 29869130
International epidemiology of intracerebral hemorrhage.
Ikram MA, Wieberdink RG, Koudstaal PJ
Curr Atheroscler Rep 2012 Aug;14(4):300-6. doi: 10.1007/s11883-012-0252-1. PMID: 22538431Free PMC Article
Clinical syndromes and management of intracerebral hemorrhage.
Ko SB, Choi HA, Lee K
Curr Atheroscler Rep 2012 Aug;14(4):307-13. doi: 10.1007/s11883-012-0251-2. PMID: 22538430
Impact of hypertension on stroke.
Dubow J, Fink ME
Curr Atheroscler Rep 2011 Aug;13(4):298-305. doi: 10.1007/s11883-011-0187-y. PMID: 21626308
Update on intracerebral haemorrhage.
Ferro JM
J Neurol 2006 Aug;253(8):985-99. Epub 2006 May 6 doi: 10.1007/s00415-006-0201-4. PMID: 16680558

Prognosis

Research advances in predicting the expansion of hypertensive intracerebral hemorrhage based on CT images: an overview.
Ai M, Zhang H, Feng J, Chen H, Liu D, Li C, Yu F, Li C
PeerJ 2024;12:e17556. Epub 2024 Jun 7 doi: 10.7717/peerj.17556. PMID: 38860211Free PMC Article
Different Strokes: A management dilemma.
Gujjar AR, El-Tigani M, Lal D, Kakaria AK, Al-Asmi AR
Sultan Qaboos Univ Med J 2018 May;18(2):e202-e207. Epub 2018 Sep 9 doi: 10.18295/squmj.2018.18.02.013. PMID: 30210851Free PMC Article
International epidemiology of intracerebral hemorrhage.
Ikram MA, Wieberdink RG, Koudstaal PJ
Curr Atheroscler Rep 2012 Aug;14(4):300-6. doi: 10.1007/s11883-012-0252-1. PMID: 22538431Free PMC Article
Intracerebral haemorrhage after thrombolysis for acute ischaemic stroke: an update.
Derex L, Nighoghossian N
J Neurol Neurosurg Psychiatry 2008 Oct;79(10):1093-9. Epub 2008 Jan 25 doi: 10.1136/jnnp.2007.133371. PMID: 18223014
Update on intracerebral haemorrhage.
Ferro JM
J Neurol 2006 Aug;253(8):985-99. Epub 2006 May 6 doi: 10.1007/s00415-006-0201-4. PMID: 16680558

Clinical prediction guides

Blood Pressure Control and Recurrent Stroke After Intracerebral Hemorrhage in 2002 to 2018 Versus 1981 to 1986: Population-Based Study.
Li L, Zuurbier SM, Kuker W, Warlow CP, Rothwell PM
Stroke 2021 Oct;52(10):3243-3248. Epub 2021 Jul 8 doi: 10.1161/STROKEAHA.121.034432. PMID: 34233466Free PMC Article
Fluoxetine for motor recovery after acute intracerebral hemorrhage, the FMRICH trial.
Marquez-Romero JM, Reyes-Martínez M, Huerta-Franco MR, Ruiz-Franco A, Silos H, Arauz A
Clin Neurol Neurosurg 2020 Mar;190:105656. Epub 2019 Dec 28 doi: 10.1016/j.clineuro.2019.105656. PMID: 31896491
Endoscope-Assisted Keyhole Technique for Hypertensive Cerebral Hemorrhage in Elderly Patients: A Randomized Controlled Study in 184 Patients.
Feng Y, He J, Liu B, Yang L, Wang Y
Turk Neurosurg 2016;26(1):84-9. doi: 10.5137/1019-5149.JTN.12669-14.0. PMID: 26768873
Real-time ultrasound-guided endoscopic surgery for putaminal hemorrhage.
Sadahiro H, Nomura S, Goto H, Sugimoto K, Inamura A, Fujiyama Y, Yamane A, Oku T, Shinoyama M, Suzuki M
J Neurosurg 2015 Nov;123(5):1151-5. Epub 2015 Jun 5 doi: 10.3171/2014.11.JNS141508. PMID: 26047414
Acidosis of severe falciparum malaria: heading for a shock?
Maitland K, Newton CR
Trends Parasitol 2005 Jan;21(1):11-6. doi: 10.1016/j.pt.2004.10.010. PMID: 15639735

Recent systematic reviews

Neuroendoscopic Surgery versus Craniotomy for Supratentorial Hypertensive Intracerebral Hemorrhage: A Systematic Review and Meta-Analysis.
Sun S, Li Y, Zhang H, Gao H, Zhou X, Xu Y, Yan K, Wang X
World Neurosurg 2020 Feb;134:477-488. Epub 2019 Nov 15 doi: 10.1016/j.wneu.2019.10.115. PMID: 31669683
Efficacy and safety of minimal invasive surgery treatment in hypertensive intracerebral hemorrhage: a systematic review and meta-analysis.
Tang Y, Yin F, Fu D, Gao X, Lv Z, Li X
BMC Neurol 2018 Sep 3;18(1):136. doi: 10.1186/s12883-018-1138-9. PMID: 30176811Free PMC Article
Intensive blood pressure reduction in acute intracerebral hemorrhage: a meta-analysis.
Tsivgoulis G, Katsanos AH, Butcher KS, Boviatsis E, Triantafyllou N, Rizos I, Alexandrov AV
Neurology 2014 Oct 21;83(17):1523-9. Epub 2014 Sep 19 doi: 10.1212/WNL.0000000000000917. PMID: 25239836
Meta-analysis of scalp acupuncture for acute hypertensive intracerebral hemorrhage.
Zheng GQ, Zhao ZM, Wang Y, Gu Y, Li Y, Chen XM, Fu SP, Shen J
J Altern Complement Med 2011 Apr;17(4):293-9. Epub 2011 Mar 27 doi: 10.1089/acm.2010.0156. PMID: 21438797
Hypertension and the post-carotid endarterectomy cerebral hyperperfusion syndrome.
Bouri S, Thapar A, Shalhoub J, Jayasooriya G, Fernando A, Franklin IJ, Davies AH
Eur J Vasc Endovasc Surg 2011 Feb;41(2):229-37. Epub 2010 Dec 4 doi: 10.1016/j.ejvs.2010.10.016. PMID: 21131217

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