Intracerebral hemorrhage: update and future directions

Author:

ROCHA Eva1ORCID,ROUANET Carolina1ORCID,REGES Danyelle1ORCID,GAGLIARDI Vivian1ORCID,SINGHAL Aneesh Bhim2ORCID,SILVA Gisele Sampaio3ORCID

Affiliation:

1. Universidade Federal de São Paulo, Brazil

2. Massachusetts General Hospital, USA

3. Universidade Federal de São Paulo, Brazil; Hospital Israelita Albert Einstein, Brazil

Abstract

ABSTRACT Intracerebral hemorrhage (ICH), defined as bleeding into the brain parenchyma, is a significant public health issue. Although it accounts for only 10 to 15% of strokes, it is associated with the highest morbidity and mortality rates. Despite advances in the field of stroke and neurocritical care, the principles of acute management have fundamentally remained the same over many years. The main treatment strategies include aggressive blood pressure control, early hemostasis, reversal of coagulopathies, clot evacuation through open surgical or minimally invasive surgical techniques, and the management of raised intracranial pressure.

Publisher

FapUNIFESP (SciELO)

Subject

Neurology,Clinical Neurology

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