Hemorrhagic Transformation

Definition

Reperfusion of blood into ischemic tissue after an embolic event. May occur 1-2 days after infarction.

Signs/Symptoms

Neurologic worsening and perhaps gradual loss of consciousness, head pain, dizziness, or neck rigidity.

Diagnostic Tests

CT scan

Treatment Options

Preventive Therapy

Control blood pressure. Avoid early use of anticoagulants in large infarcts.

Surgical Management

Removal of clot by aspiration or evacuation if clot is close to surface of the brain (acute stages).