Cerebrovascular disease: Hemorrhagic

Introduction Intracerebral hemorrhage and subarachnoid hemorrhage are commonly encountered neurological emergencies that the neurohospitalist will have to manage. Changing demographics have focused neurocritical care management strategies involved in the approach to these patients. This chapter will review the current state of knowledge for treating these illnesses. Intracerebral hemorrhage Intracerebral hemorrhage has a prevalence of approximately 37 000 cases per year. These numbers are expected to double over the next 50 years due to increased longevity. Overall, the mortality for this disease remains high, with 6% prehospital and 30–50% 30-day mortality. The morbidity of intracerebral hemorrhage is also significant, with only 20% of the patients returning to independent living after 6 months [–5].