Hemorrhagic Stroke

Cerebral Microbleeds Do Not Predict 3-Month Death or Disability in Intracerebral Hemorrhage

Cerebral Microbleeds Do Not Predict 3-Month Death or Disability in Intracerebral Hemorrhage

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Investigators performed a pre-planned secondary analysis of the open-label, randomized Antihypertensive Treatment of Acute Cerebral Hemorrhage 2 study, specifically on the magnetic resonance images obtained during the intensive blood pressure lowering portion of the trial.

Intracerebral Hemorrhage-Related Hospital Mortality Reduced With Prior NOAC Use

Intracerebral Hemorrhage-Related Hospital Mortality Reduced With Prior NOAC Use

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Outcomes in intracerebral hemorrhage are less severe in patients with prior NOAC use.

Risk Factors Have Varying Effects on Stroke Pathology

Risk Factors Have Varying Effects on Stroke Pathology

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The results confirm that ischemic, hemorrhagic, and subarachnoid stroke have very different etiologies.

Spontaneous Subarachnoid Hemorrhage Incidence Up in Pregnant Women

Spontaneous Subarachnoid Hemorrhage Incidence Up in Pregnant Women

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Researchers have observed an upward trend in the incidence of pregnancy-related spontaneous subarachnoid hemorrhage.

ENCHANTED Update: No Role for Low-Dose Alteplase After All?

ENCHANTED Update: No Role for Low-Dose Alteplase After All?

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Results from a secondary analysis of the ENCHANTED trial add to a pile of weak data that likely will not affect clinical practice.

Noncontrast CT Markers Predict Hematoma Growth Risk in Hemorrhagic Stroke

Noncontrast CT Markers Predict Hematoma Growth Risk in Hemorrhagic Stroke

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Surprisingly, no evidence was found to suggest that patients with these markers benefit from intensive blood pressure reduction.

Intensive BP Lowering Does Not Benefit ICH With Spot Sign

Intensive BP Lowering Does Not Benefit ICH With Spot Sign

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Although spot sign predicted ICH expansion, it proved to be a less robust diagnostic marker than demonstrated by previous single-center cohort studies.

Cirrhosis Associated With Increased Stroke Risk

Cirrhosis Associated With Increased Stroke Risk

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Patients with cirrhosis had a 2.17% per year incidence of stroke compared with 1.11% per year incidence of stroke in patients without cirrhosis.

Intracranial Hemorrhage Associated with Arteriovenous Malformations Linked to Better Outcomes

Intracranial Hemorrhage Associated with Arteriovenous Malformations Linked to Better Outcomes

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Compared with other sources of ICH, those associated with arteriovenous malformations had lower odds of death.

After Stroke, Intensive Antiplatelet Therapy Has Benefits, Drawbacks

After Stroke, Intensive Antiplatelet Therapy Has Benefits, Drawbacks

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Intensive antiplatelet therapy appears to reduce risk of recurrence immediately after stroke, but may pose risks further out.

Intracerebral Hemorrhage Outcomes Improved With Anticoagulants

Intracerebral Hemorrhage Outcomes Improved With Anticoagulants

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Resumption of oral anticoagulants after intracerebral hemorrhage was found to improve outcomes at 1 year.

Oral Anticoagulation After ICH: Risks and Outcomes

Oral Anticoagulation After ICH: Risks and Outcomes

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Restarting anticoagulation after both nonlobar and lobar ICH was associated with decreased mortality.

Medical Complications After ICH: Changes in the Last Decade

Medical Complications After ICH: Changes in the Last Decade

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As more patients survive ICH, emphasis is slowly shifting from survival to improving ICH-related morbidity and optimization of functional recovery.

Cilostazol Helps Prevent Secondary Stroke But Not Without Risk

Cilostazol Helps Prevent Secondary Stroke But Not Without Risk

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Optimal antiplatelet treatment has yet to be determined for stroke survivors with prior intracerebral hemorrhage.

In Stroke, No Clear Benefit for Head Positioning

In Stroke, No Clear Benefit for Head Positioning

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Neither lying flat nor sitting up appears to alter outcomes in patients presenting with acute stroke.

Dementia, Depression Common After Intracerebral Hemorrhage

Dementia, Depression Common After Intracerebral Hemorrhage

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Among ICH survivors, 63% developed both depression and dementia during a 5-year follow-up study.

Antiplatelet Pretreatment Linked to Intracranial Hemorrhage Mortality

Antiplatelet Pretreatment Linked to Intracranial Hemorrhage Mortality

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Patients receiving treatment with vitamin K antagonists (VKA) or antiplatelet agents face a significantly increased risk of mortality within 24 hours of intracranial hemorrhage.

Neonatal Hemorrhagic Stroke: Prevalence and Outcomes

Neonatal Hemorrhagic Stroke: Prevalence and Outcomes

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Despite being more common than thought, many cases of neonatal hemorrhagic stroke remain idiopathic.

SSRI Use Tied to Risk of Intracranial Hemorrhage

SSRI Use Tied to Risk of Intracranial Hemorrhage

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Concomitant use of oral anticoagulants contributed to a significantly higher increased risk for ICH.

Weight Linked to Ischemic, But Not Hemorrhagic Stroke in Women

Weight Linked to Ischemic, But Not Hemorrhagic Stroke in Women

Being overweight may slightly lower chances for hemorrhagic stroke, the study found.

Hypocalcemia May Worsen Bleeding in Intracerebral Hemorrhage

Hypocalcemia May Worsen Bleeding in Intracerebral Hemorrhage

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Lower serum calcium levels correlate with risk of hematoma expansion in intracerebral hemorrhage.

Hemoglobin Level Adversely Impacts Stroke Mortality

Hemoglobin Level Adversely Impacts Stroke Mortality

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Associations with increased mortality were found for both low and high hemoglobin levels, suggesting a U-shaped relationship.

90% of Stroke Worldwide Attributable to 10 Modifiable Risk Factors

90% of Stroke Worldwide Attributable to 10 Modifiable Risk Factors

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Still, regional variations exist, indicating that more personalized prevention programs may be needed.

Recommended Reversal Time of Vitamin K Antagonists Identified for ICH

Recommended Reversal Time of Vitamin K Antagonists Identified for ICH

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As ICH volume is known to increase within the first 3 hours following intracerebral hemorrhage, timely reversal is vital for patients on anticoagulation.

Longer Sleep Duration Linked to Intracerebral Hemorrhage Risk

Longer Sleep Duration Linked to Intracerebral Hemorrhage Risk

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Sleep duration has previously been linked to hypertension and stroke risk.

Pregnancy in Older Age Elevates Hemorrhagic Stroke Risk

Pregnancy in Older Age Elevates Hemorrhagic Stroke Risk

Women with pregnancy at an advanced age had significantly higher rates of ischemic stroke, hemorrhagic stroke, myocardial infarction, and cardiovascular death.

Long-Term Seizure Risk Higher in Patients With Stroke vs Traumatic Brain Injury

Long-Term Seizure Risk Higher in Patients With Stroke vs Traumatic Brain Injury

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Surprisingly, multiple types of stroke were associated with a greater risk of seizure than TBI.

Functional Outcomes After Stroke May Be Worse in Women, Minorities

Functional Outcomes After Stroke May Be Worse in Women, Minorities

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The authors speculate that women may have pre-stroke functional deficits, and minorities may have poorer access to care.

Intracerebral Hemorrhage May Mimic Transient Ischemic Attack

Intracerebral Hemorrhage May Mimic Transient Ischemic Attack

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Patients with symptoms of TIA should undergo brain imaging to rule out ICH prior to antithrombotic therapy.

NOAC-Associated Intracerebral Hemorrhage Linked to Adverse Outcomes

NOAC-Associated Intracerebral Hemorrhage Linked to Adverse Outcomes

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The study did not establish whether early intervention improves outcomes.

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