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Professional Technical IVT

Fisher grade

Radiological classification system for subarachnoid hemorrhage based on CT appearance and blood distribution.

Full Definition

The Fisher grade is a widely used classification system that categorizes subarachnoid hemorrhage based on the appearance and distribution of blood on computed tomography scans. Grade 1 indicates no blood detected, Grade 2 shows diffuse thin layer of blood, Grade 3 demonstrates thick clots or layers of blood, and Grade 4 reveals intracerebral or intraventricular hemorrhage. This grading system helps predict the risk of developing delayed cerebral ischemia and guides clinical decision-making in neurocritical care.

Usage

Usage note: Always capitalize 'Fisher' as it is named after Dr. Charles Miller Fisher.

In Context

  • "The radiologist assigned a Fisher grade 3 to the patient's subarachnoid hemorrhage on the admission CT." — radiology report
  • "Patients with Fisher grade 3 or 4 hemorrhages require intensive monitoring for vasospasm." — clinical protocol

Also known as

Fisher scale

Don't confuse with

Hunt and Hess grade modified Fisher grade

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