Recent advances in the management of acute intracerebral hemorrhage

Richard A. Bernstein*, Michele Del-Signore

*Corresponding author for this work

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Intracerebrall hemorrhage (ICH) is the most deadly form of stroke, and its acute treatment has suffered from a lack of guidance by reliable clinical trial data. In the past year, however, important clinical trials have helped point toward effective acute management. Studies have shown that magnetic resonance imaging is as accurate as computed tomography in diagnosing acute ICH, although this study is not always feasible in critically ill patients. Ultra-early hemostatic therapy has shown promise in limiting early hematoma expansion and rebleeding. The role of early surgery in patient management has been partially clarified. Finally, a novel treatment for intraventricular hemorrhage has shown promise in speeding clot resolution. All of these advances provide grounds for optimism that multimodal, evidence-based treatment of acute ICH will be reality in the near future.

Original languageEnglish (US)
Pages (from-to)483-487
Number of pages5
JournalCurrent neurology and neuroscience reports
Volume5
Issue number6
DOIs
StatePublished - Nov 2005

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology

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