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. 2021 May 14;12:661955. doi: 10.3389/fneur.2021.661955

Table 1.

Classification systems of HT in ischemic stroke.

HT classification system Type of HT Criteria
Clinical Symptomatic ICH (sICH) Increase in the NIHSS by >4 points within the first 36 h of stroke onset
Asymptomatic ICH (aICH) Increase in the NIHSS by ≤ 4 points within the first 36 h of stroke onset
ECASS HI1 Small petechial hemorrhagic infarction
HI2 Confluent petechial hemorrhagic infarction
PH1 Small parenchymal hemorrhage (<30% of infarct, mild mass effect)
PH2 Large parenchymal hemorrhage (>30% of infarct, marked mass effect)
Heidelberg Bleeding Classification 1a HI1 Scattered small petechiae, no mass effect
1b HI2 Confluent petechiae, no mass effect
1c PH1 Hematoma within infarcted tissue, occupying <30%, no substantive mass effect
2 PH2 Hematoma occupying 30% or more of the infarcted tissue, with obvious mass effect
3 Intracerebral hemorrhage outside the infarcted brain tissue or intracranial-extracerebral hemorrhage
3a Parenchymal hematoma remote from infarcted brain tissue
3b Intraventricular hemorrhage
3c Subarachnoid hemorrhage
3d Subdural hemorrhage