Role of Inflammatory Processes in Hemorrhagic Stroke

Hemorrhagic stroke is the deadliest form of stroke and includes the subtypes of intracerebral hemorrhage and subarachnoid hemorrhage. A common cause of hemorrhagic stroke in older individuals is cerebral amyloid angiopathy. Intracerebral hemorrhage and subarachnoid hemorrhage both lead to the rapid...

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Published in:Stroke (1970) Vol. 54; no. 2; pp. 605 - 619
Main Authors: Ohashi, Sarah N., DeLong, Jonathan H., Kozberg, Mariel G., Mazur-Hart, David J., van Veluw, Susanne J., Alkayed, Nabil J., Sansing, Lauren H.
Format: Journal Article
Language:English
Published: United States Lippincott Williams & Wilkins 01-02-2023
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Abstract Hemorrhagic stroke is the deadliest form of stroke and includes the subtypes of intracerebral hemorrhage and subarachnoid hemorrhage. A common cause of hemorrhagic stroke in older individuals is cerebral amyloid angiopathy. Intracerebral hemorrhage and subarachnoid hemorrhage both lead to the rapid collection of blood in the central nervous system and generate inflammatory immune responses that involve both brain resident and infiltrating immune cells. These responses are complex and can contribute to both tissue recovery and tissue injury. Despite the interconnectedness of these major subtypes of hemorrhagic stroke, few reviews have discussed them collectively. The present review provides an update on inflammatory processes that occur in response to intracerebral hemorrhage and subarachnoid hemorrhage, and the role of inflammation in the pathophysiology of cerebral amyloid angiopathy–related hemorrhage. The goal is to highlight inflammatory processes that underlie disease pathology and recovery. We aim to discuss recent advances in our understanding of these conditions and identify gaps in knowledge with the potential to develop effective therapeutic strategies.
AbstractList Hemorrhagic stroke is the deadliest form of stroke and includes the subtypes of intracerebral hemorrhage and subarachnoid hemorrhage. A common cause of hemorrhagic stroke in older individuals is cerebral amyloid angiopathy. Intracerebral hemorrhage and subarachnoid hemorrhage both lead to the rapid collection of blood in the central nervous system and generate inflammatory immune responses that involve both brain resident and infiltrating immune cells. These responses are complex and can contribute to both tissue recovery and tissue injury. Despite the interconnectedness of these major subtypes of hemorrhagic stroke, few reviews have discussed them collectively. The present review provides an update on inflammatory processes that occur in response to intracerebral hemorrhage and subarachnoid hemorrhage, and the role of inflammation in the pathophysiology of cerebral amyloid angiopathy-related hemorrhage. The goal is to highlight inflammatory processes that underlie disease pathology and recovery. We aim to discuss recent advances in our understanding of these conditions and identify gaps in knowledge with the potential to develop effective therapeutic strategies.
Author DeLong, Jonathan H.
Mazur-Hart, David J.
Alkayed, Nabil J.
Sansing, Lauren H.
Kozberg, Mariel G.
van Veluw, Susanne J.
Ohashi, Sarah N.
AuthorAffiliation Department of Anesthesiology & Perioperative Medicine and Knight Cardiovascular Institute (N.J.A.), Oregon Health and Science University (OHSU), Portland
Department of Neurological Surgery (D.J.M.-H.), Oregon Health and Science University (OHSU), Portland
AuthorAffiliation_xml – name: Department of Anesthesiology & Perioperative Medicine and Knight Cardiovascular Institute (N.J.A.), Oregon Health and Science University (OHSU), Portland
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  givenname: Mariel G.
  surname: Kozberg
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  organization: J. Philip Kistler Stroke Research Center, Department of Neurology, Massachusetts General Hospital/ Harvard Medical School, Boston (M.G.K., S.J.v.V.)
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  surname: van Veluw
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  surname: Alkayed
  fullname: Alkayed, Nabil J.
  organization: Department of Anesthesiology & Perioperative Medicine and Knight Cardiovascular Institute (N.J.A.), Oregon Health and Science University (OHSU), Portland
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  givenname: Lauren H.
  surname: Sansing
  fullname: Sansing, Lauren H.
  organization: Department of Neurology (S.N.O., J.H.D., L.H.S.), Yale School of Medicine, New Haven, CT
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Keywords cerebral hemorrhage
hemorrhagic stroke
cerebral amyloid angiopathy
inflammation
subarachnoid hemorrhage
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Snippet Hemorrhagic stroke is the deadliest form of stroke and includes the subtypes of intracerebral hemorrhage and subarachnoid hemorrhage. A common cause of...
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SubjectTerms Aged
Cerebral Amyloid Angiopathy - complications
Cerebral Hemorrhage - complications
Hemorrhagic Stroke - complications
Humans
Stroke - etiology
Subarachnoid Hemorrhage - etiology
Title Role of Inflammatory Processes in Hemorrhagic Stroke
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https://www.ncbi.nlm.nih.gov/pubmed/36601948
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Volume 54
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