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Management of intracerebral hemorrhage

Authors Ramandeep Sahni, Jesse Weinberger

Published 15 November 2007 Volume 2007:3(5) Pages 701—709

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Ramandeep Sahni, Jesse Weinberger

Department of Neurology, Mount Sinai School of Medicine, New York, NY, USA

Abstract: Currently, intracerebral hemorrhage (ICH) has the highest mortality rate of all stroke subtypes (Counsell et al 1995; Qureshi et al 2005). Hematoma growth is a principal cause of early neurological deterioration. Prospective and retrospective studies indicate that up to 38% hematoma expansion is noted within three hours of ICH onset and that hematoma volume is an important predictor of 30-day mortality (Brott et al 1997; Qureshi et al 2005). This article will review current standard of care measures for ICH patients and new research directed at early hemostatic therapy and minimally invasive surgery.

Keywords: ICH, hemostatic therapy, recombinant factor VII, surgical management

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