Spontaneous Intracerebral Hemorrhage (SICH) is usually associated with one or more underlying conditions.


Spontaneous Intracerebral Hemorrhage occurs without preceding trauma or surgery. A person may not always be aware of head injury or recall it afterward.


Conditions associated with SICH:

(1) hypertension (most common factor)

(2) amyloid angiopathy

(3) hereditary or acquired coagulopathy

(4) vascular anomaly

(5) intracranial tumor

(6) anticoagulation therapy

(7) other drugs


Some cases will have no preceding condition identified despite a careful evaluation (idiopathic).


Imaging studies (CT, angiography, etc) are important for the evaluation of most patients.


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