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Primary intracerebral and subarachnoid hemorrhage. An approach to diagnosis and therapy

M Fisher1

  • 1Department of Neurology, Medical Center of Central Massachusetts, Worcester 01605.

Arquivos De Neuro-Psiquiatria
|September 1, 1991
PubMed

Insights

Primary intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH) diagnosis is aided by modern imaging. Despite advances, treatment remains challenging with poor outcomes for these severe brain bleeds.

Area of Science:

  • Neurology
  • Neurosurgery
  • Radiology

Background:

  • Primary intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH) are severe neurological events.
  • Modern imaging has improved diagnosis, but prognosis remains poor with high mortality rates compared to ischemic stroke.

Purpose of the Study:

  • To review the current diagnostic and therapeutic landscape for ICH and SAH.
  • To highlight the persistent challenges in managing these conditions.

Main Methods:

  • Review of diagnostic imaging techniques (CT, MRI) for ICH and SAH.
  • Discussion of current management strategies, including supportive care, medical interventions, and surgical considerations.

Main Results:

  • Diagnostic accuracy for ICH and SAH has increased with advanced imaging.
  • ICH incidence is declining; SAH incidence is stable.
  • Effective treatments for ICH are limited, primarily supportive.
  • Calcium channel blockers may mitigate SAH complications, but rebleeding prevention is unaddressed.
  • Early surgery for stable SAH patients is recommended.

Conclusions:

  • Significant challenges persist in the prevention and treatment of ICH and SAH.
  • Further research is needed for effective medical and surgical interventions for these devastating brain hemorrhages.

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