Hemorrhagic Infarction

Hemorrhagic infarction is petechial or confluent bleeding within an ischemic infarct, usually after embolic occlusion and reperfusion (spontaneous or after thrombolysis). Clinical: similar to ischemic stroke, may worsen. Treatment: manage as stroke; avoid anticoagulants/antiplatelets acutely if symptomatic hemorrhage; control BP; neurosurgical consultation if mass effect; reverse coagulopathy; delayed secondary prevention when stable.

Common Symptoms

Focal deficits; petechial bleeding within infarct; embolic/reperfusion; may worsen

Causes and Pathogenesis

Reperfusion of damaged infarcted vessels causes petechial hemorrhage.

Treatment

Manage as stroke; avoid anticoagulants acutely; control BP; neurosurgery if mass effect; delayed prevention

Preventive Measures

Monitor after thrombolysis; control BP; careful anticoagulation.

Department to Visit

It is recommended to visit the Neurology/Neurosurgery department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.