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Medicine C.N.S. 63f3e353

Most common cause of nontraumatic intracerebral hemorrhage is -

A
Hypertension
B
Cerebral amyloid angiopathy
C
Anticoagulant therapy
D
Rupture of aneurysm
High-Yield Explanation
Ans. is 'a' i.e., Hypertension * Intracranial hemorrhage is defined as the pathologic distribution of blood within the calvaria. It is subdivided into intra-axial (intracerebral) and extra-axial hemorrhage.* Extra-axial hemorrhage includes blood into epidural, subdural and subarachnoid spaces. Intra- axial hemorrhage includes blood into the intraparenchymal or intraventricular spaces.* Intracranial hemorrhage is believed to occur in 10 - 30% of all strokes and is predominantly intraparenchymal in such cases.* Hypertension is the most common cause underlying most nontraumatic intracerebral hemorrhage (50 - 60%).* Cerebral amyloid angiopathy is the second most common cause of nontruamatic intraparenchymal hemorrhage and is responsible for 10 - 12% of all hemorrhagic strokes.

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