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 |