Related Experiment Video

Updated: Jun 24, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
09:01

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation

Published on: October 15, 2021

8.4K

Cognitive impairment before and after intracerebral haemorrhage: a systematic review

Claire Donnellan1, David Werring2

  • 1School of Nursing and Midwifery, Faculty of Health Sciences, University of Dublin Trinity College, 2 Clare Street, Dublin 2, Ireland. cdonnel@tcd.ie.

Neurological Sciences : Official Journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
|December 6, 2019
PubMed

Insights

Cognitive impairment is common before and after intracerebral hemorrhage (ICH), affecting nearly one-third of patients. Factors like prior stroke and hemorrhage volume predict cognitive decline post-ICH.

Area of Science:

  • Neurology
  • Neuroscience
  • Cognitive Science

Background:

  • Intracerebral hemorrhage (ICH) is increasingly linked to cognitive dysfunction, with dementia prevalence ranging from 5-44%.
  • Existing research on cerebrovascular disease and cognition has predominantly focused on ischemic stroke.
  • This review addresses the gap by focusing on cognitive dysfunction specifically related to ICH.

Purpose of the Study:

  • To systematically identify and quantify studies examining cognitive function before and after intracerebral hemorrhage.
  • To synthesize findings on the prevalence and predictors of cognitive impairment in ICH patients.
  • To identify commonly affected cognitive domains and assessment tools in ICH.

Main Methods:

  • A systematic literature search was conducted across PubMed, Science Direct, Scopus, and PsycINFO.
  • Studies were included if they assessed global cognition or used a neuropsychological battery.
  • Nineteen studies were included: 8 focusing on pre-ICH cognition and 11 on post-ICH cognition.

Main Results:

  • Cognitive impairment prevalence ranged from 9-29% pre-ICH and 14-88% post-ICH.
  • Predictive factors included prior stroke, ICH volume/location, and cerebral amyloid angiopathy markers.
  • Commonly affected domains post-ICH were processing speed, executive function, memory, language, and visuospatial abilities.

Conclusions:

  • Cognitive impairment and dementia affect approximately one-third of patients following intracerebral hemorrhage.
  • Early identification and management of cognitive dysfunction are crucial in ICH care.
  • Further research is needed to fully elucidate the long-term cognitive sequelae of ICH.
Abstract

Keywords:
Cognitive impairmentDementiaIntracerebral haemorrhageNeuropsychological assessmentStroke

More Related Videos

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions07:30

Evaluation of the Cognitive Performance of Hypertensive Patients with Silent Cerebrovascular Lesions

Published on: April 23, 2021

3.3K
Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model08:18

Intracranial Pressure Monitoring In Nontraumatic Intraventricular Hemorrhage Rodent Model

Published on: February 8, 2022

2.8K

Related Concept Videos

Hemorrhagic Stroke l: Introduction01:17

Hemorrhagic Stroke l: Introduction

A hemorrhagic stroke is an acute neurological event that occurs when a weakened cerebral blood vessel ruptures, allowing blood to accumulate within or around the brain. The sudden release of blood forms a focal hematoma that increases intracranial pressure, displaces neural tissue, and can obstruct cerebrospinal fluid pathways. These effects may be compounded by intraventricular extension of the hemorrhage, cerebral edema, or compression of adjacent structures, all of which contribute to...
Hemorrhagic Stroke ll: Pathophysiology01:29

Hemorrhagic Stroke ll: Pathophysiology

A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...
Traumatic Brain Injury l: Introduction01:28

Traumatic Brain Injury l: Introduction

DefinitionTraumatic brain injury, or TBI, is a disturbance of normal brain function induced by an external mechanical force, such as a direct blow to the head or a penetrating injury. It can affect both brain structure and function, producing a wide range of clinical outcomes. TBI is a heterogeneous condition, meaning its effects may differ based on the type, location, and severity of the injury.Basis of ClassificationTBI is classified based on severity, injury mechanism, or pathophysiology. In...
Dementia l: Introduction01:22

Dementia l: Introduction

Dementia is an acquired, progressive syndrome characterized by a decline in multiple cognitive domains severe enough to impair daily functioning and reduce independence. Although memory loss is a central feature, the diagnosis requires additional deficits involving language, executive function, visuospatial skills, judgment, calculation, or abstract reasoning. These cognitive impairments reflect underlying neurodegenerative or vascular processes that gradually disrupt neuronal networks...