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. 2021 Jun 22;13(10):912–917. doi: 10.1136/neurintsurg-2021-017349

Table 1.

Classification of hemorrhagic events after ischemic stroke and reperfusion therapy consensus (Heidelberg Bleeding Classification)13 compared with ECASS III14

Anatomic intracranial hemorrhage classification ECASS type Description
1 Hemorrhagic transformation of infarcted brain tissue
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 Intracerebral hemorrhage within and beyond infarcted brain tissue
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

HI, hemorrhagic infarction; PH, parenchymatous hematoma.