Recent advances in the management of acute intracerebral hemorrhage.
Intracerebral 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.
Bernstein
Richard A
RA
Ken and Ruth Davee Department of Neurology, Feinberg School of Medicine of Northwestern University, 710 North Lake Shore Drive, Abbott Hall 11th Floor, Chicago, IL 60611, USA. r-bernstein@northwestern.edu
Del-Signore
Michele
M
D000208:Acute Disease / Q000628:therapy; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000628:therapy*; D002560:Cerebrovascular Circulation / Q000502:physiology; D006489:Hemostatic Techniques; D006801:Humans; D007091:Image Processing, Computer-Assisted / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods; D019635:Neurosurgical Procedures / Q000379:methods*