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Hypertensive intracerebral hemorrhage. Epidemiology and clinical pathology
1Department of Neurology, Tufts University School of Medicine, Boston, Massachusetts.
Insights
Hypertension is a major risk factor for intracerebral hemorrhage (ICH). Clinical findings and common ICH locations are reviewed, aided by CT scanning for better correlation of symptoms with lesions.
Area of Science:
- Neurology
- Radiology
Background:
- Hypertension is a primary risk factor for intracerebral hemorrhage (ICH).
- Approximately 50% of ICH patients have a history of hypertension.
- ICH presents with specific clinical findings and varies by lesion location.
Purpose of the Study:
- To review the clinical syndromes associated with common intracerebral hemorrhage locations.
- To highlight the role of CT scanning in understanding ICH.
Main Methods:
- Review of clinical findings in intracerebral hemorrhage.
- Correlation of neurologic deficits with lesion sites using CT scans.
Main Results:
- Common clinical findings include focal neurologic deficits, progressive deterioration, headache, vomiting, and depressed consciousness.
- CT scanning has improved the understanding and localization of ICH lesions.
Conclusions:
- Hypertension is a critical factor in intracerebral hemorrhage.
- CT imaging is essential for correlating clinical presentation with ICH location and pathology.
Abstract:
Hypertension is the major risk factor for intracerebral hemorrhage (ICH) and is present in about 50% of patients with ICH. Common clinical findings are focal neurologic deficits at onset, gradually progressive deterioration, and the presence of headache, vomiting, and depressed level of consciousness. The clinical syndromes of ICH at common locations are reviewed. CT scanning has dramatically changed our thinking about ICH and allowed better correlation of neurologic findings with lesions at various sites.