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Review 5: Cerebral Intraparenchymal Hemorrhage: A Review

Reviewer

Rana Abualsaud, MD

New York Presbyterian Hospital Cornell/Columbia, Department of Emergency Medicine, Weill Cornell School of Medicine, New York, NY

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1. Article Citation
2. Synopsis
3. ABEM Quick Quiz
4. Discussion
   1. Primary Intraparenchymal Hemorrhage
   2. Secondary Intraparenchymal Hemorrhage
   3. Clinical Presentation, Assessment, and Diagnosis
   4. Treatment
5. Critique
6. ABEM Quick Quiz Answers
7. Key Points
8. Original Article

Article Citation

Gross BA, Jankowitz BT, Friedlander RM. Cerebral intraparenchymal hemorrhage: a review. JAMA. 2019;321(13):1295-1303.

Synopsis

Intraparenchymal hemorrhage (IPH) comprises <20% of all strokes but has the highest rate of mortality. Additionally, IPH can be either primary or secondary and can have a number of different causes. Risk factors have been identified, and assessment scores can aid in diagnosis. Timely recognition and management of IPH, including blood pressure control and reversal of associated coagulopathy, among others, are imperative to facilitate recovery and produce the most favorable outcomes.

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