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ICH accounts for about 15-20% of strokes. It is also known as intraparenchymal hemorrhage, or hemorrhagic stroke. It has high mortality rate. The main stay for prevention, is management of CASH, with goal SBP 110-130 torr. ----------------------------------------------- HOB up 30°, SBP goal range 120-160, correct coagulopathy, close neuromonitoring. ------------------------------------------------- Note: an ischemic stroke that has hemorrhagic conversion is NOT an ICH. -------------------------------------------------- Contralateral = symptoms or signs on the opposite side of the lesion. Ipsilateral = symptoms or signs on the SAME side of the lesion. ---------------------------------------------------- Disclaimer and Bibliography: The information is intended to be used as an educational reference tool. It does not replace or overrule the treating healthcare provider’s (HCP) judgement, critical thinking, individualization of care, or diagnosis. The information is as accurate as possible, but it does include and is permeated by my own experience. As information is subject to change, and the possibility of human error on my side, it is up to the treating HCP(s) to decide the relevance and appropriateness of this tool for their patients and context. Users have the responsibility to confirm the relevance and appropriateness of the information here provided. You are responsible for the care of your patient. This presentation and content should not be used in any legal capacity whatsoever, including but not limited to establishing “standard of care” in a legal sense or as a basis for expert witness testimony. No guarantee is given regarding the accuracy of any statements or opinions made on the app and its content. Under no circumstances shall I/we be responsible for damages arising from use of software and its content. Use at your own risk. The video is provided "as is". You are responsible for keeping updated, and observing if this video's content continues to be relevant for your use. Please, refer to the primary sources. Use at your own risk. A.A. Jarquin-Valdivia, MD 2020 ---------------------------------------------------- PubMed ICH Bibliography Collection: https://tinyurl.com/ICHLitCollection -------------------------------------------------- An ICH Score Calculator here: https://www.mdcalc.com/intracerebral-... ------------------------------------------- Images: This Photo by Unknown Author is licensed under CC BY-NC https://medicine.tamu.edu/class-files... https://commons.wikimedia.org/wiki/Fi... This Photo by Unknown Author is licensed under CC BY-NC Interesting link: https://neuropathology-web.org/chapte... ------------------------------------------------------- Music: Spirit of Fire, Jesse Gallagher, YouTube Library