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Intracerebral hemorrhage.

Maria I Aguilar1, Bart M Demaerschalk

  • 1Department of Neurology, Division of Cerebrovascular Diseases, Mayo Clinic Arizona, Phoenix, Arizona 85054, USA.

Seminars in Neurology
|August 19, 2007
PubMed
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This review discusses managing spontaneous intracerebral hemorrhage, highlighting the need for updated guidelines beyond 1999. It addresses common scenarios for non-surgical medical decision-making in acute and long-term patient care.

Area of Science:

  • Neurology
  • Neurosurgery
  • Critical Care Medicine

Background:

  • Intracerebral hemorrhage (ICH) management is evolving, with increased non-surgical physician involvement.
  • Current therapeutic guidelines for ICH date back to 1999, despite advancements like the STICH and recombinant FVIIa trials.
  • There is a gap in evidence-based consensus for managing spontaneous ICH.

Observation:

  • Nonsurgeons are increasingly participating in medical decision-making for ICH.
  • Recent clinical trials have not yet led to updated comprehensive guidelines.
  • Managing ICH requires addressing both acute and long-term patient care scenarios.

Findings:

  • The review synthesizes current practices for frequently encountered ICH case scenarios.
  • It aims to bridge the gap left by outdated 1999 guidelines.

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  • Focuses on medical management strategies for spontaneous or non-traumatic ICH.

    • Implications:

    • Updated consensus and guidelines are crucial for optimal ICH patient outcomes.
    • Enhanced understanding of ICH management will improve non-surgical physician confidence.
    • This review provides a practical resource for clinicians managing ICH patients.