Secondary Intracerebral Hemorrhage Score Calculator
The sICH Score estimates the likelihood of an underlying vascular etiology in adult patients with nontraumatic intracerebral hemorrhage.
High probability: enlarged vessels/calcifications along ICH margins, or
hyperattenuation in a dural venous sinus/cortical vein along presumed venous drainage.
Low probability: none of these findings and ICH in basal ganglia, thalamus, or brainstem.
Otherwise, classify as indeterminate.
Impaired coagulation: admission INR >3, aPTT >80 seconds,
platelet count <50,000, or daily antiplatelet therapy.
Total sICH Score
Clinical note: This calculator is for educational and clinical-support use only.
It does not replace specialist clinical judgment, neuroimaging review, or local protocols.
Intracerebral hemorrhage is a neurological emergency.
References
- Delgado Almandoz JE, Schaefer PW, Goldstein JN, et al. Practical scoring system for identifying patients with ICH at highest risk of harboring an underlying vascular etiology: the Secondary Intracerebral Hemorrhage Score. AJNR Am J Neuroradiol. 2010;31(9):1653–1660.
- MDCalc. Secondary Intracerebral Hemorrhage Score.
