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Intracerebral hemorrhage: update and future directions

Eva Rocha1, Carolina Rouanet1, Danyelle Reges1

  • 1Universidade Federal de São Paulo, Hospital São Paulo, Departamento de Neurologia e Neurocirurgia, São Paulo SP, Brazil.

Arquivos De Neuro-Psiquiatria
|November 4, 2020
PubMed

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.

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