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    Chief Complaint


    Organ System


    Patent Pending

    Secondary Intracerebral Hemorrhage (sICH) Score

    Quantifies likelihood of underlying vascular etiology in patients with ICH.
    When to Use
    Why Use

    Patients with ICH who have had non-contrast CT (NCCT).

    • The Secondary ICH (sICH) Score predicts likelihood that a given ICH is secondary to an underlying vascular abnormality, based on clinical and radiographic characteristics.
    • Should not be used for patients with any of the following:
      • Subarachnoid hemorrhage in the basal cisterns.
      • Clear-cut, pre-established acute ischemic infarct with secondary hemorrhage within the area of infarct.
      • Known intracranial vascular abnormality or mass lesion.
      • Known probable cerebral amyloid angiopathy per Boston criteria.
    • Does not predict morbidity or mortality in ICH.
    • Difference in discriminatory performance according to imaging interpretations by neurologists vs radiologists has not been determined.
    • Can help stratify which patients with ICH should undergo CT angiography (CTA) if CTA is not routinely performed for workup of ICH at specific institutions.
    • In select cases, can help determine which patients with ICH should undergo catheter angiogram (the risks of which include, but are not limited to, renal injury, pseudoaneurysm, and arterial dissection) for definitive evaluation for an underlying vascular abnormality.
    • May help with operative planning when emergent neurosurgery for ICH is indicated and either CTA or catheter angiogram cannot be done safely.
    18-45 years
    46-70 years
    >71 years


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    Creator Insights
    Dr. Josser Delgado Almandoz

    About the Creator

    Josser Delgado Almandoz, MD, is a consulting neuroradiologist at Abbott Northwestern Hospital in Minneapolis, MN. He is an active researcher on topics including stroke intervention and other intracranial disease. He was a contributing author to the Training Guidelines for Endovascular Ischemic Stroke Intervention: An International Multi-Society Consensus Document, a consensus on stroke treatment training of 10 neurological disease societies around the world.

    To view Dr. Josser Delgado Almandoz's publications, visit PubMed

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