Intracerebral haemorrhage (ICH): complications
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Intracerebral haemorrhage (ICH): complications. These develop in about 15% of cases. Fully referenced neurology checklist.
Early seizures
- These develop in about 15% of cases
- They occur within 7 days of stroke onset
- They are associated with cortical haemorrhages
- Status epilepticus develops in 1% of cases
- They do not influence outcome of ICH at 6 months
Delayed seizures: risk factors
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Delayed seizures: CAVE predictive score
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Intraventricular extension
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Hyperacute injury marker (HARM)
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Recurrent haemorrhage: risk factors
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Other neurological complications
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Systemic complications
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References
- Balami JS, Buchan AM. Complications of intracerebral haemorrhage. Lancet Neurol 2012; 11:101-118.
- Moussouttas M. Challenges and controversies in the medical management of primary and antithrombotic-related intracerebral hemorrhage. Ther Adv Neurol Disord 2012; 5:43-56.
- De Herdt V, Dumont F, Henon H, et al. Early seizures in intracerebral hemorrhage: incidence, associated factors, and outcome. Neurology 2011; 77:1794-1800.
- Biffi A, Rattani A, Anderson CD, et al. Delayed seizures after intracerebral haemorrhage. Brain 2016; 139:2694-2705.
- Lahti AM, Saloheimo P, Huhtakangas J, et al. Poststroke epilepsy in long-term survivors of primary intracerebral hemorrhage. Neurology 2017; 88:2169-2175.
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