Management of spontaneous intracerebral haemorrhages.
Spontaneous intracerebral haemorrhage is defined as a collection of blood in the cerebral parenchyma that is not caused by trauma. It represents roughly 10-20% of all strokes. The clinical presentation is unspecific and the diagnosis requires brain imaging. ICH is a medical emergency and ICH patients have to be admitted in an acute stroke unit. The priority is to fight against ICH expansion. The first step consists in the administration of a specific antagonist of the antithrombotic treatment when available, and in the strict control of blood pressure. Clinicians should keep in mind that the concept of so-called "primary" ICH is misleading since many causes should be searched for. During follow-up, the risk of recurrence may depend on the underlying vessel disease and blood pressure should be strictly managed. ICH patients are at high risk of dementia: cognitive evaluation should regularly be performed during follow-up.
Université de Lille, Inserm U1171, Degenerative and Vascular Cognitive Disorders, CHU de Lille, Department of Neurology, Lille, France.
Barbara
B
Casolla
Université de Lille, Inserm U1171, Degenerative and Vascular Cognitive Disorders, CHU de Lille, Department of Neurology, Lille, France.
Romain
R
Tortuyaux
Université de Lille, Inserm U1171, Degenerative and Vascular Cognitive Disorders, CHU de Lille, Department of Neurology, Lille, France. Electronic address: charlotte.cordonnier@univ-lille2.fr.
Charlotte
C
Cordonnier
D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy*; D006801:Humans