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1. 13% of all strokes may be secondary to HTN, amyloid angiopathy, ruptured aneurysm, AVM, bleeding disorders, anticoagulants, bleeding into tumors.

2. Amyloid angiopathy is a common cause of hemorrhagic stroke after the 5 th decade of life.

3. Some patients have pre-existing evidence of intermittent, small bleeds on MRI of the brain, these "microbleeds" are indicators of which patients are prone to future ICH.

4. The hemorrhage tends to be lobar and subcortical and can be multiple. It rarely involves the deep structures.

5. Gradual or sudden onset with deficit worse at onset.

6. Hemorrhages may recur within months or years.

7. Dementia occurs in 30%. Other features include acute reactive hypertension, vomiting, headache, and nuchal rigidity.


1. Wilkinson, I. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press.
2. Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
3. Image: no reference available.

Ⓒ A. Manickam 2018

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