Intracerebral Hemorrhage

Lauren H. Sansing, MD, MS

Intracerebral hemorrhage (ICH) remains one of the most devastating neurologic diseases. Collaborative clinical care—linking emergency physicians, neurology, critical care, neurosurgery, and radiology—is paramount to optimizing outcomes for our patients.

The goal of this issue is to provide an up-to-date source on ICH etiologies, management, and current research. Although not all aspects of ICH could be covered in the issue, we focused on topics in which major advances have occurred over the past decade. We begin with an overview of neurocritical care management, then delve into amyloid angiopathy and vascular malformations, the dilemmas in prognosticating outcomes, and three key management issues: blood pressure, surgical evacuation, and reversal of coagulopathies. A preclinical research overview then sets the landscape for future therapeutic targets, followed by a comprehensive introduction to ICH genomics; we close the issue with emerging rehabilitation therapies to maximize recovery for our patients.

I want to thank Dr. David Greer for the opportunity to bring a distinguished group of authors together for the issue and for his thoughtful guidance. I also want to thank all the authors, who contributed truly insightful manuscripts that balance research updates with practical management advice. Finally, thanks to Ms. Ashley Stahle for her expert administrative support for the issue.