OBJECTIVE To evaluate the prognosis, neurologic outcome, and predictors of survival in patients with non-traumatic intracerebral hemorrhage. METHODS We evaluated prospectively a cohort of 96 Saudi adult males and females with stroke during the month of July 2005 at Arar Central Hospital, Riyadh, Kingdom of Saudi Arabia. Out of 103 patients, 96 patients, who were diagnosed as having intracereb...

OBJECTIVE We tested the hypothesis that intraventricular hemorrhage (IVH) is associated with incontinence and gait disturbance among survivors of intracerebral hemorrhage (ICH) at 3-month follow-ups. METHODS The Genetic and Environmental Risk Factors for Hemorrhagic Stroke study was used as the discovery set. The Ethnic/Racial Variations of Intracerebral Hemorrhage study served as a replicati...

Spontaneous intracerebral hemorrhage (ICH) is the most common type of hemorrhagic stroke, ≈4 times more common than subarachnoid hemorrhage and accounting for 15% of all strokes. ICH is associated with higher rates of morbidity and mortality than all stroke subtypes. Overall, mortality rates for ICH are estimated to be as high as 40% to 50%, with the vast majority of survivors disabled at 6 mon...

Types of Recurrent Stroke in Survivors of Intracerebral Hemorrhage To the Editor: I read with great interest the recent article1 by Arakawa and colleagues. In this important study, Arakawa and colleagues followed up 74 patients with hypertensive brain hemorrhage for a mean of 2.8 years and reported higher diastolic blood pressure (DBP) but not higher systolic blood pressure (SBP) as the risk fa...

Anticoagulation is highly effective in preventing stroke due to atrial fibrillation, but numerous studies have demonstrated low utilization of anticoagulation for these patients. Assessment of clinicians' attitudes on this topic indicate that fear of intracerebral hemorrhage (ICH), rather than appreciation of anticoagulation benefits, largely drives clinical decision-making for treatment with a...

BACKGROUND AND PURPOSE Although modern multisequence stroke MRI protocols are an emerging imaging routine for the diagnostic assessment of acute ischemic stroke, their sensitivity for intracerebral hemorrhage (ICH), the most important differential diagnosis, is still a matter of debate. We hypothesized that stroke MRI is accurate in the detection of ICH. To evaluate our hypotheses, we conducted...

Types of Recurrent Stroke in Survivors of Intracerebral Hemorrhage To the Editor: I read with great interest the recent article1 by Arakawa and colleagues. In this important study, Arakawa and colleagues followed up 74 patients with hypertensive brain hemorrhage for a mean of 2.8 years and reported higher diastolic blood pressure (DBP) but not higher systolic blood pressure (SBP) as the risk fa...

BACKGROUND AND PURPOSE Stroke-prone spontaneous hypertensive rats (SHRsp) fed a high-salt diet develop malignant hypertension, blood-brain barrier breakdown, and spontaneous intracerebral hemorrhage (ICH). The precise spatial and temporal relationship between these events has not been well-delineated. METHODS Ten SHRsp male rats, fed a high-salt diet, were imaged weekly using MRI, starting at...

BACKGROUND AND PURPOSE The ABC/2 formula is a reliable estimation technique of intracerebral hematoma volume. However, oral anticoagulant therapy (OAT)-related intracerebral hemorrhage (ICH) compared with primary ICH is based on a different pathophysiological mechanism, and various shapes of hematomas are more likely to occur. Our objective was to validate the ABC/2 technique based on analyses ...