Format

Send to

Choose Destination
Presse Med. 2016 Dec;45(12 Pt 2):e419-e428. doi: 10.1016/j.lpm.2016.10.006. Epub 2016 Nov 2.

Management of spontaneous intracerebral haemorrhages.

Author information

1
Université de Lille, Inserm U1171, Degenerative and Vascular Cognitive Disorders, CHU de Lille, Department of Neurology, Lille, France.
2
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.

Abstract

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.

PMID:
27816340
DOI:
10.1016/j.lpm.2016.10.006
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center