The physiopathology of spontaneous hemorrhagic stroke: a systematic review
Author:
Morais Filho Alcivan Batista de1, Rego Thiago Luis de Holanda1, Mendonça Letícia de Lima1, Almeida Sulyanne Saraiva de1, Nóbrega Mariana Lima da1, Palmieri Thais de Oliveira1, Giustina Gabriela Zanotto Della1, Melo Jáderson Pimenta1, Pinheiro Francisco Irochima2, Guzen Fausto Pierdoná1
Affiliation:
1. Universidade do Estado do Rio Grande do Norte , Mossoró , Brazil 2. Universidade Federal do Rio Grande do Norte , Natal , Brazil
Abstract
Abstract
Hemorrhagic stroke (HS) is a major cause of death and disability worldwide, despite being less common, it presents more aggressively and leads to more severe sequelae than ischemic stroke. There are two types of HS: Intracerebral Hemorrhage (ICH) and Subarachnoid Hemorrhage (SAH), differing not only in the site of bleeding, but also in the mechanisms responsible for acute and subacute symptoms. This is a systematic review of databases in search of works of the last five years relating to the comprehension of both kinds of HS. Sixty two articles composed the direct findings of the recent literature and were further characterized to construct the pathophysiology in the order of events. The road to the understanding of the spontaneous HS pathophysiology is far from complete. Our findings show specific and individual results relating to the natural history of the disease of ICH and SAH, presenting common and different risk factors, distinct and similar clinical manifestations at onset or later days to weeks, and possible complications for both.
Publisher
Walter de Gruyter GmbH
Subject
General Neuroscience
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