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Review article

Spontaneous intracerebral hemorrhage

LJILJANA BESLAĆ-BUMBAŠIREVIĆ ; Clinical Centre of Serbia, Neurology Clinic, Dr Subotića 6, PO Box 12, 11129 Belgrade 102, Serbia
VIŠNJA PAĐEN ; Department of Emergency Neurology, Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia
DEJANA R. JOVANOVIĆ ; Department of Emergency Neurology, Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia
MAJA STEFANOVIĆ-BUDIMKIĆ ; Department of Emergency Neurology, Neurology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Belgrade, Serbia

Fulltext: english, pdf (129 KB) pages 337-345 downloads: 1.194* cite
APA 6th Edition
BESLAĆ-BUMBAŠIREVIĆ, LJ., PAĐEN, V., R. JOVANOVIĆ, D. & STEFANOVIĆ-BUDIMKIĆ, M. (2012). Spontaneous intracerebral hemorrhage. Periodicum biologorum, 114 (3), 337-345. Retrieved from https://hrcak.srce.hr/96137
MLA 8th Edition
BESLAĆ-BUMBAŠIREVIĆ, LJILJANA, et al. "Spontaneous intracerebral hemorrhage." Periodicum biologorum, vol. 114, no. 3, 2012, pp. 337-345. https://hrcak.srce.hr/96137. Accessed 26 Sep. 2021.
Chicago 17th Edition
BESLAĆ-BUMBAŠIREVIĆ, LJILJANA, VIŠNJA PAĐEN, DEJANA R. JOVANOVIĆ and MAJA STEFANOVIĆ-BUDIMKIĆ. "Spontaneous intracerebral hemorrhage." Periodicum biologorum 114, no. 3 (2012): 337-345. https://hrcak.srce.hr/96137
Harvard
BESLAĆ-BUMBAŠIREVIĆ, LJ., et al. (2012). 'Spontaneous intracerebral hemorrhage', Periodicum biologorum, 114(3), pp. 337-345. Available at: https://hrcak.srce.hr/96137 (Accessed 26 September 2021)
Vancouver
BESLAĆ-BUMBAŠIREVIĆ LJ, PAĐEN V, R. JOVANOVIĆ D, STEFANOVIĆ-BUDIMKIĆ M. Spontaneous intracerebral hemorrhage. Periodicum biologorum [Internet]. 2012 [cited 2021 September 26];114(3):337-345. Available from: https://hrcak.srce.hr/96137
IEEE
LJ. BESLAĆ-BUMBAŠIREVIĆ, V. PAĐEN, D. R. JOVANOVIĆ and M. STEFANOVIĆ-BUDIMKIĆ, "Spontaneous intracerebral hemorrhage", Periodicum biologorum, vol.114, no. 3, pp. 337-345, 2012. [Online]. Available: https://hrcak.srce.hr/96137. [Accessed: 26 September 2021]

Abstracts
Intracerebral hemorrhage (ICH) represents cerebral parenchymal bleeding thatmay also extend into ventricular, and rarely, subarachnoid space. As a stroke subtype, it is associated with poor neurological outcome as well as high mortality. The worldwide incidence of ICH ranges from 10 to 20 cases per 100,000 population and increases with age. Different risk factors can cause ICH: hypertension (the main and the most common risk factor), cerebral amyloid angiopathy, previous use of anticoagulant therapy, excessive use of alcohol, and also other risk factors such as serum cholesterol levels and some genetic factors. Its clinical presentation usually consist of a decreased level of consciousness with headache and vomiting (in patients with a large hematoma), and depending on localization some specific neurological signs could be present: contralateral sensory-motor deficits of varying severity, aphasia, neglect, gaze deviation, hemianopsia, abnormalities of gaze, cranial-nerve abnormalities, as well as ataxia, nystagmus, and dysmetria.

Emergency diagnosis and management in neurological intensive care, or stroke units, with hypertension treatment, administration of haemostatic agents and general therapeutic measures for critically ill neurological patients may positively influence the outcome. Nevertheless, a larger number of randomized controlled studies are needed to answer several important questions, including how to treat hypertension, which haemostatic agent to use, as well as determining place and time of surgical treatment.

Hrčak ID: 96137

URI
https://hrcak.srce.hr/96137

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