• See Also
  1. Cerebrovascular Accident
  2. Cerebral Aneurysm
  3. Headache Red Flag
  4. Closed Head Injury
  5. Management of Severe Head Injury
  6. Increased Intracranial Pressure in Closed Head Injury
  7. Brainstem Herniation
  8. Neurovascular Anatomy
  9. Anticoagulant Reversal
  • Epidemiology
  1. Incidence
    1. Worldwide: 33 to 44 per 100,000
  • Types
  • Intracranial Hemorrhage
  1. Spontaneous Hemorrhagic Stroke (Hemorrhage accounts for 20% of all Cerebrovascular Accidents)
    1. Cerebral Intraparenchymal Hemorrhage or Intracerebral Hemorrhage
      1. Accounts for 9% of CVAs in U.S. (40,000 to 67,000 per year)
    2. Subarachnoid Hemorrhage (SAH, typically aneurysmal bleeding)
      1. Accounts for 3% of CVAs in U.S. (30,000 per year)
  2. Head Injury
    1. Epidural Hematoma
    2. Subdural Hematoma
    3. Traumatic Intracerebral Hemorrhage
    4. Traumatic Subarachnoid Hemorrhage
  • Prognosis
  1. Hemorrhagic CVA carries an overall very high 30 day mortality in U.S.: 35 to 52%
    1. More than 50% of Hemorrhagic CVAs occur in the first 24 hours