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Intracerebral hemorrhage (ICH) is a type of intracranial hemorrhage ad it is characterized by a bleeding into the brain tissue. It is the second cause of stroke (the first is the ischemic stroke).

ICH Score

ICH score allows risk stratification in patients with ICH. It could improve standardization of clinical treatment protocols and clinical research studies.


% Mortality (30-Days)
0 0
1 13
2 26
3 72
4 97
5 100
6 100


GCS 3-4 2
  5-12 1
  13-15 0
ICH Volume >30cm3 1
  <30cm3 0
IVH Yes 1
  No 0
Location Infratentorial 1
  Supratentorial 0
Age >80 years old 1
  <80 years old 0


ICH Volumes

ICH volume is calculated through a simplified formula used for the volume of an ellipsoid: ABC/2

  • A is the hemorrhage diameter in the slice where it is bigger;
  • B is the hemorrhage diameter in the slice perpendicular to A;
  • C is the number of slice of 10mm in wich hemorrhage is visible.


FUNC Score

FUNC score is used both to identify patients suffering from ICH that will reach functional autonomy and to help in decision making process.


% Functional Indipendence (90-Days)
 0-4  0
 5-7  1-20
 8  21-60
 9-10  61-80
 11  81-100


ICH Volume <30cm3 2
  30cm3-60cm3 1
  >60cm3 0
Age <70 years old 2
  70-79 years old 1
  >80 years old 0
 ICH Location Lobar 2
  Deep 1
  Infratentorial 0
GCS >9 2
  <8 0
Pre-ICH Cognitive impairment No 1
  Yes 0




The ABCs of Measuring Intracerebral Hemorrhage Volumes. Rashmi U. Kothari MD, Stroke, 1996;27:1304-1305

ABC/XYZ estimates intracerebral hemorrhage volume as a percent of total brain volume in children. Beslow LA, Stroke, 2010;41(4):691






Federico Nicolosi, MD

University of Milan
"Spedali Civili" Hospital Brescia (Italy)
Scientific Team - UpSurgeOn

Giorgio Saraceno, MS

Medical Student
University of Brescia (Italy) 
Scientific Team UpSurgeOn