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Hemorrhagic transformation

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are strongly associated with long-term deterioration and worsening of the patient's condition. Most cases of hemorrhagic transformation, including the majority of petechial hemorrhages, are asymptomatic and do not cause noticeable symptoms.
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HT can lead to further damage to the brain tissue and worsen the outcome of the initial stroke. The risk of HT increases with the severity and duration of the initial stroke, as well as with certain medical conditions such as
418:"Treatment and Outcome of Hemorrhagic Transformation After Intravenous Alteplase in Acute Ischemic Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association/American Stroke Association" 522:
Stone JA, Willey JZ, Keyrouz S, Butera J, McTaggart RA, Cutting S, et al. (January 2017). "Therapies for Hemorrhagic Transformation in Acute Ischemic Stroke".
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In the medical literature, various criteria have been used to establish whether a hemorrhagic infarction is symptomatic or not. Studies have shown that only
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Signs and symptoms can vary depending on the severity and location of the bleeding within the brain tissue.
131: 369:"Predicting Hemorrhagic Transformation of Acute Ischemic Stroke: Prospective Validation of the HeRS Score" 53:
In majority seen within 4 days of initial stroke. In patients treated with thrombolysis - within 24 hours.
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Yaghi S, Willey JZ, Cucchiara B, Goldstein JN, Gonzales NR, Khatri P, et al. (December 2017).
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Marsh EB, Llinas RH, Schneider AL, Hillis AE, Lawrence E, Dziedzic P, Gottesman RF (January 2016).
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Spronk E, Sykes G, Falcione S, Munsterman D, Joy T, Kamtchum-Tatuene J, Jickling GC (2021).
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Effective treatment is complex and may involve medications to control bleeding (reversing
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of brain tissue that has been affected by the stroke and can take two forms:
318:"Hemorrhagic Transformation in Ischemic Stroke and the Role of Inflammation" 578: 543: 505: 443: 402: 353: 142: 128: 297: 135: 43: 168: 116: 96: 269: 182: 187: 415: 315: 85: 209:
of blood from the peripheral circulation across a disrupted
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Hemorrhagic transformation is a process which involves the
92:, a condition in which blood flow to the brain is blocked. 366: 521: 270:The NINDS t-PA Stroke Study Group (November 1997). 595: 564: 246:"Hemorrhagic transformation of ischemic infarct" 84:is a medical complication that can occur in the 573:. Treasure Island (FL): StatPearls Publishing. 311: 309: 307: 517: 515: 123:and the use of certain medications, such as 61:petechial hemorrhage, parenchymal hemorrhage 463: 461: 467: 304: 263: 239: 237: 71:Brain computed tomography (CT) angiography 512: 495: 485: 433: 392: 343: 333: 287: 458: 138:) which can increase the bleeding risk. 234: 225:experience hemorrhagic transformation. 14: 596: 524:Current Treatment Options in Neurology 221:Around 10-15% of patients with acute 148: 565:Unnithan AK, Das J, Mehta P (2022). 243: 164:Some common symptoms might include: 24: 200: 25: 615: 213:(BBB) and into the brain tissue. 468:Hong JM, Kim DS, Kim M (2021). 216: 78:Hemorrhagic transformation (HT) 558: 409: 360: 13: 1: 228: 435:10.1161/STR.0000000000000152 7: 385:10.1097/MD.0000000000002430 250:Radiology Reference Article 10: 620: 33:Hemorrhagic transformation 536:10.1007/s11940-017-0438-5 487:10.3389/fneur.2021.703258 335:10.3389/fneur.2021.661955 289:10.1161/01.str.28.11.2109 65: 57: 49: 37: 32: 604:Complications of stroke 474:Frontiers in Neurology 322:Frontiers in Neurology 105:parenchymal hemorrhage 82:hemorrhagic conversion 18:Hemorrhagic conversion 158:parenchymal hematomas 567:"Hemorrhagic Stroke" 179:Weakness or numbness 101:petechial hemorrhage 211:blood-brain barrier 113:high blood pressure 88:following an acute 149:Signs and symptoms 121:clotting disorders 428:(12): e343–e361. 75: 74: 67:Diagnostic method 27:Medical condition 16:(Redirected from 611: 589: 588: 586: 585: 562: 556: 555: 519: 510: 509: 499: 489: 465: 456: 455: 437: 413: 407: 406: 396: 364: 358: 357: 347: 337: 313: 302: 301: 291: 267: 261: 260: 258: 257: 241: 205:HT involves the 30: 29: 21: 619: 618: 614: 613: 612: 610: 609: 608: 594: 593: 592: 583: 581: 563: 559: 520: 513: 466: 459: 414: 410: 365: 361: 314: 305: 282:(11): 2109–18. 268: 264: 255: 253: 242: 235: 231: 223:ischemic stroke 219: 203: 201:Pathophysiology 151: 90:ischemic stroke 28: 23: 22: 15: 12: 11: 5: 617: 607: 606: 591: 590: 557: 511: 457: 408: 359: 303: 262: 232: 230: 227: 218: 215: 202: 199: 198: 197: 191: 185: 180: 177: 171: 150: 147: 132:tpA medication 125:anticoagulants 73: 72: 69: 63: 62: 59: 55: 54: 51: 47: 46: 41: 35: 34: 26: 9: 6: 4: 3: 2: 616: 605: 602: 601: 599: 580: 576: 572: 568: 561: 553: 549: 545: 541: 537: 533: 529: 525: 518: 516: 507: 503: 498: 493: 488: 483: 479: 475: 471: 464: 462: 453: 449: 445: 441: 436: 431: 427: 423: 419: 412: 404: 400: 395: 390: 386: 382: 378: 374: 370: 363: 355: 351: 346: 341: 336: 331: 327: 323: 319: 312: 310: 308: 299: 295: 290: 285: 281: 277: 273: 266: 252:. Radiopaedia 251: 247: 240: 238: 233: 226: 224: 214: 212: 208: 207:extravasation 195: 192: 189: 186: 184: 181: 178: 176: 175:consciousness 172: 170: 167: 166: 165: 162: 159: 154: 146: 144: 139: 137: 133: 130: 126: 122: 118: 114: 108: 106: 102: 98: 93: 91: 87: 83: 79: 70: 68: 64: 60: 56: 52: 48: 45: 42: 40: 36: 31: 19: 582:. Retrieved 570: 560: 527: 523: 477: 473: 425: 421: 411: 379:(2): e2430. 376: 372: 362: 325: 321: 279: 275: 265: 254:. Retrieved 249: 244:Gaillard F. 220: 217:Epidemiology 204: 190:difficulties 163: 155: 152: 143:coagulopathy 140: 129:thrombolytic 109: 104: 100: 94: 81: 77: 76: 173:Changes in 50:Usual onset 584:2023-02-28 571:StatPearls 480:: 703258. 328:: 661955. 256:2023-02-28 229:References 136:alteplase 134:(such as 44:Neurology 39:Specialty 598:Category 579:32644599 544:28130682 530:(1): 1. 506:34917010 444:29097489 403:26765425 373:Medicine 354:34054705 196:problems 183:Seizures 169:Headache 117:diabetes 97:bleeding 552:3294843 497:8669478 452:3779945 394:4718251 345:8160112 298:9368550 577:  550:  542:  504:  494:  450:  442:  422:Stroke 401:  391:  352:  342:  296:  276:Stroke 194:Vision 188:Speech 119:, and 548:S2CID 448:S2CID 86:brain 58:Types 575:PMID 540:PMID 502:PMID 440:PMID 399:PMID 350:PMID 294:PMID 127:and 103:and 532:doi 492:PMC 482:doi 430:doi 389:PMC 381:doi 340:PMC 330:doi 284:doi 80:or 600:: 569:. 546:. 538:. 528:19 526:. 514:^ 500:. 490:. 478:12 476:. 472:. 460:^ 446:. 438:. 426:48 424:. 420:. 397:. 387:. 377:95 375:. 371:. 348:. 338:. 326:12 324:. 320:. 306:^ 292:. 280:28 278:. 274:. 248:. 236:^ 115:, 107:. 587:. 554:. 534:: 508:. 484:: 454:. 432:: 405:. 383:: 356:. 332:: 300:. 286:: 259:. 20:)

Index

Hemorrhagic conversion
Specialty
Neurology
Diagnostic method
brain
ischemic stroke
bleeding
high blood pressure
diabetes
clotting disorders
anticoagulants
thrombolytic
tpA medication
alteplase
coagulopathy
parenchymal hematomas
Headache
consciousness
Seizures
Speech
Vision
extravasation
blood-brain barrier
ischemic stroke


"Hemorrhagic transformation of ischemic infarct"
"Intracerebral hemorrhage after intravenous t-PA therapy for ischemic stroke"
doi
10.1161/01.str.28.11.2109

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