TY - JOUR
T1 - Intracerebral Hemorrhage
AU - Ziai, Wendy C.
AU - Carhuapoma, J. Ricardo
N1 - Publisher Copyright:
© 2018 American Academy of Neurology.
PY - 2018/12/1
Y1 - 2018/12/1
N2 - Purpose of Review: This article describes the advances in the management of spontaneous intracerebral hemorrhage in adults. Recent Findings: Therapeutic intervention in intracerebral hemorrhage has continued to focus on arresting hemorrhage expansion, with large randomized controlled trials addressing the effectiveness of rapidly lowering blood pressure, hemostatic therapy with platelet transfusion, and other clotting complexes and clot volume reduction both of intraventricular and parenchymal hematomas using minimally invasive techniques. Smaller studies targeting perihematomal edema and inflammation may also show promise. Summary: The management of spontaneous intracerebral hemorrhage, long relegated to the management and prevention of complications, is undergoing a recent evolution in large part owing to stereotactically guided clot evacuation techniques that have been shown to be safe and that may potentially improve outcomes.
AB - Purpose of Review: This article describes the advances in the management of spontaneous intracerebral hemorrhage in adults. Recent Findings: Therapeutic intervention in intracerebral hemorrhage has continued to focus on arresting hemorrhage expansion, with large randomized controlled trials addressing the effectiveness of rapidly lowering blood pressure, hemostatic therapy with platelet transfusion, and other clotting complexes and clot volume reduction both of intraventricular and parenchymal hematomas using minimally invasive techniques. Smaller studies targeting perihematomal edema and inflammation may also show promise. Summary: The management of spontaneous intracerebral hemorrhage, long relegated to the management and prevention of complications, is undergoing a recent evolution in large part owing to stereotactically guided clot evacuation techniques that have been shown to be safe and that may potentially improve outcomes.
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U2 - 10.1212/CON.0000000000000672
DO - 10.1212/CON.0000000000000672
M3 - Article
C2 - 30516598
AN - SCOPUS:85059575911
SN - 1080-2371
VL - 24
SP - 1603
EP - 1622
JO - CONTINUUM Lifelong Learning in Neurology
JF - CONTINUUM Lifelong Learning in Neurology
IS - 6
ER -