Ischemic lesions, blood pressure dysregulation, and poor outcomes in intracerebral hemorrhage

Chelsea S. Kidwell, Jonathan Rosand, Gina Norato, Simone Dixon, Bradford B. Worrall, Michael L. James, Mitchell S.V. Elkind, Matthew L. Flaherty, Jennifer Osborne, Anastasia Vashkevich,

Neurology · 2017 · 93 citations · 26 references

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Abstract

OBJECTIVE: To evaluate the associations among diffusion-weighted imaging (DWI) lesions, blood pressure (BP) dysregulation, MRI markers of small vessel disease, and poor outcome in a large, prospective study of primary intracerebral hemorrhage (ICH). METHODS: The Ethnic/Racial Variations of Intracerebral Hemorrhage (ERICH) study is a multicenter, observational study of ICH among white, black, and Hispanic patients. RESULTS: = 0.034) as well as age, ICH volume, intraventricular hemorrhage, Glasgow Coma Scale score, WMH score, race/ethnicity, acute in-hospital antihypertensive treatment, and ICH location. CONCLUSIONS: These results support the hypotheses that acute BP dysregulation is associated with the development of DWI lesions in primary ICH and that DWI lesions are, in turn, associated with poor outcomes.

References

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