EC Emergency Medicine and Critical Care

Hemorrhagic stroke may be subdivided into intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH). Intracerebral hematomas represent 10% of serious haemorrhages under VKA. We report a case of a 43 years old patient, who had an intracranial hemorrhage one month after a heart surgery.

Literature say that the cerebral CT scan and Brain MRI make the diagnosis of intracerebral hematoma with very good sensitivity and specificity. The prognosis imposes an optimization of the treatments to act on the main determinants of the prognosis: the growth of the hematoma, to prevent secondary brain injury of systemic origin, to treat the systemic consequences of cerebral suffering, to prevent re-bleeding in the context of SAH, to identify and treat patients undergoing urgent surgery or radio-interventional procedures.

Keywords: Hemorrhagic Stroke; Intracerebral Hemorrhage (ICH); Subarachnoid Hemorrhage (SAH)

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