Intracranial Hemorrhage

Aka: Intracranial Hemorrhage, Intracranial Bleeding, Spontaneous Intracranial Hemorrhage, Hemorrhagic CVA, Hemorrhagic Stroke, Hemorrhagic Cerebrovascular Accident, Hemorrhagic Cerebral Infarction

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II. Epidemiology

  1. Incidence
    1. Worldwide: 33 to 44 per 100,000

III. Types: Intracranial Hemorrhage

  1. Spontaneous Hemorrhagic Stroke (Hemorrhage accounts for 20% of all Cerebrovascular Accidents)
    1. Cerebral Intraparenchymal Hemorrhage or Intracerebral Hemorrhage
      1. Accounts for 9% of CVAs in U.S. (40,000 to 67,000 per year)
    2. Subarachnoid Hemorrhage (SAH, typically aneurysmal bleeding)
      1. Accounts for 3% of CVAs in U.S. (30,000 per year)
  2. Head Injury
    1. Epidural Hematoma
    2. Subdural Hematoma
    3. Traumatic Intracerebral Hemorrhage
    4. Traumatic Subarachnoid Hemorrhage

IV. Prognosis

  1. Hemorrhagic CVA carries an overall very high 30 day mortality in U.S.: 35 to 52%
    1. More than 50% of Hemorrhagic CVAs occur in the first 24 hours

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