Review Article

Molecular, Pathological, Clinical, and Therapeutic Aspects of Perihematomal Edema in Different Stages of Intracerebral Hemorrhage

Table 4

Variables that may aggravate PHE in patients.

Baseline variablesClinical variablesHematological characteristicsOther clinical variables

Male gender and older age [115]A higher score on the National Institutes of Health Stroke Scale [115]Higher platelet count [147]Cerebral venous drainage system damage
(i) AIVF [125]
(ii) Negative JVR [157]
(iii) Lower CVFV [158]
Genetic characteristics
(i) APOE4+ [132]
(ii) AQP4 (rs1054827) [133]
(iii) GC genotype in the TIMP-2-418 position (rs8179090) [134]
(iv) Hp 1-1 phenotype [131]
Lower Glasgow Coma Scale score [115]Systemic inflammatory response (higher neutrophil-lymphocyte ratio) [117, 148]Glymphatic system damage?
Higher glucose [115]Larger initial ICH volume [116, 138]Higher admission hematocrit [21]
History of hypertension [138]Irregular hematoma or black hole sign [115, 116]Higher admission time for partial thromboplastin time [21]
Higher admission SBP [144, 145]Larger initial EED [115]Absence in warfarin preuse [99, 149]
Impaired blood pressure regulation [139]Time from symptom onset [138]Higher serum levels of IL-6 and soluble CD163 [150, 153]
Higher body temperature [123, 124, 138, 140, 141]Absence in sulfonylurea drug pretreatment [142, 143]Higher serum MMP-3 or MMP-8 levels [151, 152]

Abbreviations: PHE: perihematomal edema; APOE4: apolipoprotein E; AQP4: aquaporin 4; TIMP-2: tissue inhibitor of metalloproteinases 2; Hp: haptoglobin; SBP: systolic blood pressure; ICH: intracerebral hemorrhage; EED: edema extension distance; MMP: matrix metallopeptidase; AIVF: absent in ipsilateral venous filling; JVR: jugular vein reflex; CVFV: cerebral venous outflow volume.