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Spontane intrazerebrale Blutungen

Spontaneous intracerebral hemorrhages

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Zusammenfassung

Spontane intrazerebrale Blutungen (ICBs) sind für ca. 8–15% aller Schlaganfälle verantwortlich, bei Patienten unter oraler Antikoagulation sogar bis zu 40%. Die Mortalität und Morbidität sind wesentlich höher als beim ischämischen Schlaganfall. Über die Behandlungsmöglichkeiten in der Akutsituation gibt es nur wenig Daten aus randomisierten kontrollierten Therapiestudien. In dieser Übersicht soll die aktuelle Datenlage zusammengefasst und darauf basierend sollen Empfehlungen zur Behandlung von ICBs gegeben werden.

Abstract

Spontaneous intracerebral hemorrhage (ICH) accounts for 8–15% of all cases of stroke and among patients receiving oral anticoagulants this number increases up to 40%. Mortality and morbidity are considerably higher in patients with ICH compared to patients with ischemic stroke. Large randomized controlled trials provide only little evidence for therapeutic strategies in patients with spontaneous ICH. In this review we summarize the available data and give recommendations on the management of spontaneous ICH.

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Authors and Affiliations

  1. Abteilung Neurologie, Neurologische Klinik, Universitätsklinikum Heidelberg, Heidelberg

    A. Hug & S. Schwab

  2. Neurochirurgische Klinik, Universitätsklinikum Heidelberg, Heidelberg

    A. Aschoff

  3. Neurologische Klinik, Universität Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg

    A. Hug

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  1. A. Hug
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  2. A. Aschoff
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  3. S. Schwab
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Correspondence to A. Hug.

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Hug, A., Aschoff, A. & Schwab, S. Spontane intrazerebrale Blutungen . Nervenarzt 75, 953–961 (2004). https://doi.org/10.1007/s00115-004-1737-0

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