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Semin Neurol 2013; 33(05): 462-467
DOI: 10.1055/s-0033-1364210
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

An Update on Surgical and Medical Management Strategies for Intracerebral Hemorrhage

Natalie Kreitzer
1   University of Cincinnati Neuroscience Institute, Cincinnati, Ohio
2   Department of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio
,
Opeolu Adeoye
1   University of Cincinnati Neuroscience Institute, Cincinnati, Ohio
2   Department of Emergency Medicine, University of Cincinnati, Cincinnati, Ohio
3   Department of Neurosurgery, University of Cincinnati, Cincinnati, Ohio
› Author Affiliations
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Publication History

Publication Date:
06 February 2014 (online)

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Abstract

Intracerebral hemorrhage (ICH) accounts for ∼ 10 to 15% of all strokes and is one of the major causes of stroke-related death and disability. After the initial hemorrhage, further bleeding and edema contribute to secondary damage and worsened outcomes. As such, goals of previous and ongoing trials are to prevent continued bleeding, as well as mitigate the impact of cerebral edema. Although no trials have shown a definite functional outcome benefit with a given intervention, much progress has been made recently. This review focuses on recent developments that inform the acute management of ICH.

Keywords

intracerebral hemorrhage - surgical management - medical management
 

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