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[Intra-cerebral haemorrhages in the elderly]
Didier Leys1, Marie Bodenant, Charlotte Cordonnier
1Université Lille-Nord de France, UDSL, EA 1046. didier.leys@chru-lille.fr
La Revue Du Praticien
|January 1, 2013
Summary
Intra-cerebral haemorrhages (ICH) are a significant cause of stroke with higher mortality. Managing blood pressure and coagulation is crucial for preventing recurrent ICH events.
Area of Science:
- Neurology
- Vascular Medicine
Context:
- Intra-cerebral haemorrhages (ICH) constitute 15% of European strokes, presenting higher mortality and disability than cerebral infarcts.
- Arterial hypertension is the primary risk factor for ICH.
- Microbleeds indicate an elevated risk of stroke recurrence.
Purpose:
- To outline the causes, risk factors, and management strategies for intra-cerebral haemorrhages.
- To highlight the importance of prompt medical attention and long-term prevention for ICH.
Summary:
- ICH is primarily caused by lipohyalinosis (deep ICH) or cerebral amyloid angiopathy (lobar ICH).
- Emergency management involves normalizing coagulation, controlling blood pressure, and potential surgery.
- Recurrence prevention focuses on optimal blood pressure management and antithrombotic control.
Impact:
- Improved understanding of ICH etiology and risk factors.
- Guidelines for acute and preventative management of ICH.
- Reduced mortality and long-term disability associated with ICH.
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