Current Neurology and Neuroscience Reports

, Volume 5, Issue 6, pp 483–487

Recent advances in the management of acute intracerebral hemorrhage

  • Richard A. Bernstein
  • Michele Del-Signore
Article

DOI: 10.1007/s11910-005-0038-8

Cite this article as:
Bernstein, R.A. & Del-Signore, M. Curr Neurol Neurosci Rep (2005) 5: 483. doi:10.1007/s11910-005-0038-8

Abstract

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.

Copyright information

© Current Science Inc. 2005

Authors and Affiliations

  • Richard A. Bernstein
    • 1
  • Michele Del-Signore
    • 1
  1. 1.Ken and Ruth Davee Department of NeurologyFeinberg School of Medicine of Northwestern UniversityChicagoUSA