scholarly journals Natural History of Perihematomal Edema in Patients With Hyperacute Spontaneous Intracerebral Hemorrhage

Stroke ◽  
2002 ◽  
Vol 33 (11) ◽  
pp. 2631-2635 ◽  
Author(s):  
James M. Gebel ◽  
Edward C. Jauch ◽  
Thomas G. Brott ◽  
Jane Khoury ◽  
Laura Sauerbeck ◽  
...  
Stroke ◽  
2017 ◽  
Vol 48 (4) ◽  
pp. 873-879 ◽  
Author(s):  
Teddy Y. Wu ◽  
Gagan Sharma ◽  
Daniel Strbian ◽  
Jukka Putaala ◽  
Patricia M. Desmond ◽  
...  

Stroke ◽  
2011 ◽  
Vol 42 (1) ◽  
pp. 73-80 ◽  
Author(s):  
Chitra Venkatasubramanian ◽  
Michael Mlynash ◽  
Anna Finley-Caulfield ◽  
Irina Eyngorn ◽  
Rajalakshmi Kalimuthu ◽  
...  

Stroke ◽  
2020 ◽  
Vol 51 (3) ◽  
pp. 815-823 ◽  
Author(s):  
Natasha Ironside ◽  
Ching-Jen Chen ◽  
Simukayi Mutasa ◽  
Justin L. Sim ◽  
Dale Ding ◽  
...  

2016 ◽  
Vol 37 (5) ◽  
pp. 1871-1882 ◽  
Author(s):  
Raimund Helbok ◽  
Alois Josef Schiefecker ◽  
Christian Friberg ◽  
Ronny Beer ◽  
Mario Kofler ◽  
...  

Pathophysiologic mechanisms of secondary brain injury after intracerebral hemorrhage and in particular mechanisms of perihematomal-edema progression remain incompletely understood. Recently, the role of spreading depolarizations in secondary brain injury was established in ischemic stroke, subarachnoid hemorrhage and traumatic brain injury patients. Its role in intracerebral hemorrhage patients and in particular the association with perihematomal-edema is not known. A total of 27 comatose intracerebral hemorrhage patients in whom hematoma evacuation and subdural electrocorticography was performed were studied prospectively. Hematoma evacuation and subdural strip electrode placement was performed within the first 24 h in 18 patients (67%). Electrocorticography recordings started 3 h after surgery (IQR, 3–5 h) and lasted 157 h (median) per patient and 4876 h in all 27 patients. In 18 patients (67%), a total of 650 spreading depolarizations were observed. Spreading depolarizations were more common in the initial days with a peak incidence on day 2. Median electrocorticography depression time was longer than previously reported (14.7 min, IQR, 9–22 min). Postoperative perihematomal-edema progression (85% of patients) was significantly associated with occurrence of isolated and clustered spreading depolarizations. Monitoring of spreading depolarizations may help to better understand pathophysiologic mechanisms of secondary insults after intracerebral hemorrhage. Whether they may serve as target in the treatment of intracerebral hemorrhage deserves further research.


2019 ◽  
Vol 25 (10) ◽  
pp. 1189-1194 ◽  
Author(s):  
Wen‐jie Peng ◽  
Qian Li ◽  
Jin‐hua Tang ◽  
Cesar Reis ◽  
Camila Araujo ◽  
...  

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Parisa Dini ◽  
Soheila Aminimoghaddam ◽  
Zahra Mirzaasgari ◽  
Neda Rahimian ◽  
Samaneh Tanhapour Khotbehsara ◽  
...  

Abstract Background Coronavirus Disease 2019 (COVID-19) is predominately known as a respiratory disease associated with pneumonia, acute respiratory distress syndrome and multiorgan failure. However, extra-pulmonary complications of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) are increasingly being recognized. In this regard, some studies implied the hemostatic and vascular involvements in patients with SARS-CoV-2 infection. Case presentation We describe a case of spontaneous Intracerebral Hemorrhage (ICH) in a pregnant patient with COVID-19 and history of cesarean section a week before the occurrence of ICH. The patient underwent emergent craniotomy with acceptable outcome. Hemorrhagic events, including ICH, may happen during COVID-19 infection with several possible mechanisms. Conclusion COVID-19 patients, especially high-risk groups, are at a risk of intracranial hemorrhage. Therefore, close follow-up must be maintained and hemorrhagic events must be kept in mind in these cases.


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