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ICH Rehabilitation and Recovery

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Abstract

Intracerebral hemorrhage (ICH) causes disability due to persistent sensory, physical, language, cognitive, and emotional changes. To recover, rehabilitation is needed for the survivors. Research in the past two decades has expanded our understanding of the mechanisms underlying stroke recovery as well as developed new treatment modalities. In this chapter, key statistics, concepts, issues, and techniques of rehabilitation will be introduced with a focus on the evidence surrounding them. An overview of key principles underlying stroke rehabilitation will be provided. While there are some similarities to ischemic stroke with respect to rehabilitation, there are also key differences. For instance, ICH patients are more disabled on admission to rehabilitation compared to ischemic stroke patients but had a greater functional improvement after rehabilitation. In addition, there are issues and considerations such as hydrocephalus and seizures which are more specifically associated with hemorrhagic stroke rehabilitation. The management of such issues including identification and treatment are highlighted in this chapter as well.

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References

  1. Franke CL, van Swieten JC, Algra A, van Gijn J. Prognostic factors in patients with intracerebral haematoma. J Neurol Neurosurg Psychiatry. 1992;55(8):653–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  2. Fogelholm R, Murros K, Rissanen A, Avikainen S. Long term survival after primary intracerebral haemorrhage: a retrospective population based study. J Neurol Neurosurg Psychiatry. 2005;76(11):1534–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Poon MT, Fonville AF, Al-Shahi Salman R. Long-term prognosis after intracerebral haemorrhage: systematic review and meta-analysis. J Neurol Neurosurg Psychiatry. 2014;85(6):660–7.

    Article  PubMed  Google Scholar 

  4. Saloheimo P, Lapp TM, Juvela S, Hillbom M. The impact of functional status at three months on long-term survival after spontaneous intracerebral hemorrhage. Stroke. 2006;37(2):487–91.

    Article  PubMed  Google Scholar 

  5. Barber M, Roditi G, Stott DJ, Langhorne P. Poor outcome in primary intracerebral haemorrhage: results of a matched comparison. Postgrad Med J. 2004;80(940):89–92.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  6. Andersen KK, Olsen TS, Dehlendorff C, Kammersgaard LP. Hemorrhagic and ischemic strokes compared: stroke severity, mortality, and risk factors. Stroke. 2009;40(6):2068–72.

    Article  PubMed  Google Scholar 

  7. Paolucci S, Antonucci G, Grasso MG, Bragoni M, Coiro P, De Angelis D, et al. Functional outcome of ischemic and hemorrhagic stroke patients after inpatient rehabilitation: a matched comparison. Stroke. 2003;34(12):2861–5.

    Article  PubMed  Google Scholar 

  8. Katrak PH, Black D, Peeva V. Do stroke patients with intracerebral hemorrhage have a better functional outcome than patients with cerebral infarction? PM R. 2009;1(5):427–33.

    Article  PubMed  Google Scholar 

  9. Kelly PJ, Furie KL, Shafqat S, Rallis N, Chang Y, Stein J. Functional recovery following rehabilitation after hemorrhagic and ischemic stroke. Arch Phys Med Rehabil. 2003;84(7):968–72.

    Article  PubMed  Google Scholar 

  10. Hemphill JC 3rd, Greenberg SM, Anderson CS, Becker K, Bendok BR, Cushman M, et al. Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015;46(7):2032–60.

    Article  PubMed  Google Scholar 

  11. Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev. 2013;(9):Cd000197.

    Google Scholar 

  12. Chan DK, Cordato D, O’Rourke F, Chan DL, Pollack M, Middleton S, et al. Comprehensive stroke units: a review of comparative evidence and experience. Int J Stroke Off J Int Stroke Soc. 2013;8(4):260–4.

    Article  Google Scholar 

  13. Langhorne P, Fearon P, Ronning OM, Kaste M, Palomaki H, Vemmos K, et al. Stroke unit care benefits patients with intracerebral hemorrhage: systematic review and meta-analysis. Stroke. 2013;44(11):3044–9.

    Article  PubMed  Google Scholar 

  14. Legg L, Langhorne P. Rehabilitation therapy services for stroke patients living at home: systematic review of randomised trials. Lancet. 2004;363(9406):352–6.

    Article  CAS  PubMed  Google Scholar 

  15. Miller EL, Murray L, Richards L, Zorowitz RD, Bakas T, Clark P, et al. Comprehensive overview of nursing and interdisciplinary rehabilitation care of the stroke patient: a scientific statement from the American Heart Association. Stroke. 2010;41(10):2402–48.

    Article  PubMed  Google Scholar 

  16. Keith RA. The comprehensive treatment team in rehabilitation. Arch Phys Med Rehabil. 1991;72(5):269–74.

    PubMed  CAS  Google Scholar 

  17. Keep RF, Hua Y, Xi G. Intracerebral haemorrhage: mechanisms of injury and therapeutic targets. Lancet Neurol. 2012;11(8):720–31.

    Article  CAS  PubMed  Google Scholar 

  18. Xi G, Keep RF, Hoff JT. Mechanisms of brain injury after intracerebral haemorrhage. Lancet Neurol. 2006;5(1):53–63.

    Article  PubMed  Google Scholar 

  19. Mracsko E, Veltkamp R. Neuroinflammation after intracerebral hemorrhage. Front Cell Neurosci. 2014;8:388.

    Article  PubMed  PubMed Central  Google Scholar 

  20. MacLellan CL, Silasi G, Auriat AM, Colbourne F. Rodent models of intracerebral hemorrhage. Stroke. 2010;41(10 Suppl):S95–8.

    Article  PubMed  Google Scholar 

  21. Nguyen AP, Huynh HD, Sjovold SB, Colbourne F. Progressive brain damage and alterations in dendritic arborization after collagenase-induced intracerebral hemorrhage in rats. Curr Neurovasc Res. 2008;5(3):171–7.

    Article  CAS  PubMed  Google Scholar 

  22. Jang SH. A review of motor recovery mechanisms in patients with stroke. NeuroRehabilitation. 2007;22(4):253–9.

    PubMed  Google Scholar 

  23. NINDS ICH Workshop Participants. Priorities for clinical research in intracerebral hemorrhage: report from a National Institute of Neurological Disorders and Stroke workshop. Stroke. 2005;36(3):e23–41.

    Article  Google Scholar 

  24. Shen J, Xie L, Mao X, Zhou Y, Zhan R, Greenberg DA, et al. Neurogenesis after primary intracerebral hemorrhage in adult human brain. J Cereb Blood Flow Metab. 2008;28(8):1460–8.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Feng W, Belagaje SR. Recent advances in stroke recovery and rehabilitation. Semin Neurol. 2013;33(5):498–506.

    Article  PubMed  Google Scholar 

  26. Radholm K, Arima H, Lindley RI, Wang J, Tzourio C, Robinson T, et al. Older age is a strong predictor for poor outcome in intracerebral haemorrhage: the INTERACT2 study. Age Ageing. 2015;44(3):422–7.

    Article  PubMed  Google Scholar 

  27. Stansbury JP, Jia H, Williams LS, Vogel WB, Duncan PW. Ethnic disparities in stroke: epidemiology, acute care, and postacute outcomes. Stroke. 2005;36(2):374–86.

    Article  PubMed  Google Scholar 

  28. Reeves MJ, Bushnell CD, Howard G, Gargano JW, Duncan PW, Lynch G, et al. Sex differences in stroke: epidemiology, clinical presentation, medical care, and outcomes. Lancet Neurol. 2008;7(10):915–26.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Petrea RE, Beiser AS, Seshadri S, Kelly-Hayes M, Kase CS, Wolf PA. Gender differences in stroke incidence and poststroke disability in the Framingham heart study. Stroke. 2009;40(4):1032–7.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Zhou J, Zhang Y, Arima H, Zhao Y, Zhao H, Zheng D, et al. Sex differences in clinical characteristics and outcomes after intracerebral haemorrhage: results from a 12-month prospective stroke registry in Nanjing, China. BMC Neurol. 2014;14:172.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Ganti L, Jain A, Yerragondu N, Jain M, Bellolio MF, Gilmore RM, et al. Female gender remains an independent risk factor for poor outcome after acute nontraumatic intracerebral hemorrhage. Neurol Res Int. 2013;2013:219097.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Sreekrishnan A, Dearborn JL, Greer DM, Shi FD, Hwang DY, Leasure AC, et al. Intracerebral hemorrhage location and functional outcomes of patients: a systematic literature review and meta-analysis. Neurocrit Care. 2016;25(3):384–91.

    Article  CAS  PubMed  Google Scholar 

  33. LoPresti MA, Bruce SS, Camacho E, Kunchala S, Dubois BG, Bruce E, et al. Hematoma volume as the major determinant of outcomes after intracerebral hemorrhage. J Neurol Sci. 2014;345(1–2):3–7.

    Article  PubMed  Google Scholar 

  34. Ruiz-Sandoval JL, Chiquete E, Romero-Vargas S, Padilla-Martinez JJ, Gonzalez-Cornejo S. Grading scale for prediction of outcome in primary intracerebral hemorrhages. Stroke. 2007;38(5):1641–4.

    Article  PubMed  Google Scholar 

  35. Masotti L, Di Napoli M, Godoy DA, Lorenzini G. Predictive ability of a modified version of emergency department intracerebral hemorrhage grading scale for short-term prognosis of intracerebral hemorrhage. J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc. 2015;24(5):1100–4.

    Article  Google Scholar 

  36. Rost NS, Smith EE, Chang Y, Snider RW, Chanderraj R, Schwab K, et al. Prediction of functional outcome in patients with primary intracerebral hemorrhage: the FUNC score. Stroke. 2008;39(8):2304–9.

    Article  PubMed  Google Scholar 

  37. Masotti L, Lorenzini G, Di Napoli M, Godoy DA. Prognostic ability of four clinical grading scores in spontaneous intracerebral hemorrhage. Acta Neurol Belg. 2017;117(1):325–7.

    Article  PubMed  Google Scholar 

  38. Sjoholm A, Skarin M, Linden T, Bernhardt J. Does evidence really matter? Professionals’ opinions on the practice of early mobilization after stroke. J Multidiscip Healthc. 2011;4:367–76.

    PubMed  PubMed Central  Google Scholar 

  39. Skarin M, Bernhardt J, Sjoholm A, Nilsson M, Linden T. Better wear out sheets than shoes’: a survey of 202 stroke professionals’ early mobilisation practices and concerns. Int J Stroke Off J Int Stroke Soc. 2011;6(1):10–5.

    Article  Google Scholar 

  40. Liu N, Cadilhac DA, Andrew NE, Zeng L, Li Z, Li J, et al. Randomized controlled trial of early rehabilitation after intracerebral hemorrhage stroke: difference in outcomes within 6 months of stroke. Stroke. 2014;45(12):3502–7.

    Article  PubMed  Google Scholar 

  41. Bai Y, Hu Y, Wu Y, Zhu Y, He Q, Jiang C, et al. A prospective, randomized, single-blinded trial on the effect of early rehabilitation on daily activities and motor function of patients with hemorrhagic stroke. J Clin Neurosci Off J Neurosurg Soc Australasia. 2012;19(10):1376–9.

    Google Scholar 

  42. AVERT Trial Collaboration Group. Efficacy and safety of very early mobilisation within 24 h of stroke onset (AVERT): a randomised controlled trial. Lancet. 2015;386(9988):46–55.

    Article  Google Scholar 

  43. Bernhardt J, Churilov L, Ellery F, Collier J, Chamberlain J, Langhorne P, et al. Prespecified dose-response analysis for a very early rehabilitation trial (AVERT). Neurology. 2016;86(23):2138–45.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Winstein CJ, Wolf SL, Dromerick AW, Lane CJ, Nelsen MA, Lewthwaite R, et al. Effect of a task-oriented rehabilitation program on upper extremity recovery following motor stroke: the ICARE randomized clinical trial. JAMA. 2016;315(6):571–81.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Duncan PW, Sullivan KJ, Behrman AL, Azen SP, Wu SS, Nadeau SE, et al. Body-weight-supported treadmill rehabilitation after stroke. N Engl J Med. 2011;364(21):2026–36.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  46. Bladin CF, Alexandrov AV, Bellavance A, Bornstein N, Chambers B, Cote R, et al. Seizures after stroke: a prospective multicenter study. Arch Neurol. 2000;57(11):1617–22.

    Article  CAS  PubMed  Google Scholar 

  47. Szaflarski JP, Rackley AY, Kleindorfer DO, Khoury J, Woo D, Miller R, et al. Incidence of seizures in the acute phase of stroke: a population-based study. Epilepsia. 2008;49(6):974–81.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Alberti A, Paciaroni M, Caso V, Venti M, Palmerini F, Agnelli G. Early seizures in patients with acute stroke: frequency, predictive factors, and effect on clinical outcome. Vasc Health Risk Manag. 2008;4(3):715–20.

    PubMed  PubMed Central  Google Scholar 

  49. De Herdt V, Dumont F, Henon H, Derambure P, Vonck K, Leys D, et al. Early seizures in intracerebral hemorrhage: incidence, associated factors, and outcome. Neurology. 2011;77(20):1794–800.

    Article  PubMed  Google Scholar 

  50. Rossi C, De Herdt V, Dequatre-Ponchelle N, Henon H, Leys D, Cordonnier C. Incidence and predictors of late seizures in intracerebral hemorrhages. Stroke. 2013;44(6):1723–5.

    Article  CAS  PubMed  Google Scholar 

  51. Haapaniemi E, Strbian D, Rossi C, Putaala J, Sipi T, Mustanoja S, et al. The CAVE score for predicting late seizures after intracerebral hemorrhage. Stroke. 2014;45(7):1971–6.

    Article  PubMed  Google Scholar 

  52. Madzar D, Kuramatsu JB, Gollwitzer S, Lucking H, Kloska SP, Hamer HM, et al. Seizures among long-term survivors of conservatively treated ICH patients: incidence, risk factors, and impact on functional outcome. Neurocrit Care. 2014;21(2):211–9.

    Article  PubMed  Google Scholar 

  53. Balami JS, Buchan AM. Complications of intracerebral haemorrhage. Lancet Neurol. 2012;11(1):101–18.

    Article  PubMed  Google Scholar 

  54. Zacharia BE, Vaughan KA, Hickman ZL, Bruce SS, Carpenter AM, Petersen NH, et al. Predictors of long-term shunt-dependent hydrocephalus in patients with intracerebral hemorrhage requiring emergency cerebrospinal fluid diversion. Neurosurg Focus. 2012;32(4):E5.

    Article  PubMed  Google Scholar 

  55. Bu Y, Chen M, Gao T, Wang X, Li X, Gao F. Mechanisms of hydrocephalus after intraventricular haemorrhage in adults. Stroke Vasc Neurol. 2016;1(1):23–7.

    Article  PubMed  PubMed Central  Google Scholar 

  56. Diringer MN, Edwards DF, Zazulia AR. Hydrocephalus: a previously unrecognized predictor of poor outcome from supratentorial intracerebral hemorrhage. Stroke. 1998;29(7):1352–7.

    Article  CAS  PubMed  Google Scholar 

  57. Zorowitz RD, Gillard PJ, Brainin M. Poststroke spasticity: sequelae and burden on stroke survivors and caregivers. Neurology. 2013;80(3 Suppl 2):S45–52.

    Article  PubMed  Google Scholar 

  58. Lundstrom E, Terent A, Borg J. Prevalence of disabling spasticity 1 year after first-ever stroke. Eur J Neurol. 2008;15(6):533–9.

    Article  CAS  PubMed  Google Scholar 

  59. Snaphaan L, van der Werf S, Kanselaar K, de Leeuw FE. Post-stroke depressive symptoms are associated with post-stroke characteristics. Cerebrovasc Dis. 2009;28(6):551–7.

    Article  PubMed  Google Scholar 

  60. Hackett ML, Pickles K. Part I: frequency of depression after stroke: an updated systematic review and meta-analysis of observational studies. Int J Stroke Off J Int Stroke Soc. 2014;9(8):1017–25.

    Article  Google Scholar 

  61. Kutlubaev MA, Hackett ML. Part II: predictors of depression after stroke and impact of depression on stroke outcome: an updated systematic review of observational studies. Int J Stroke Off J Int Stroke Soc. 2014;9(8):1026–36.

    Article  Google Scholar 

  62. Moulin S, Labreuche J, Bombois S, Rossi C, Boulouis G, Henon H, et al. Dementia risk after spontaneous intracerebral haemorrhage: a prospective cohort study. Lancet Neurol. 2016;15(8):820–9.

    Article  PubMed  Google Scholar 

  63. Garcia PY, Roussel M, Bugnicourt JM, Lamy C, Canaple S, Peltier J, et al. Cognitive impairment and dementia after intracerebral hemorrhage: a cross-sectional study of a hospital-based series. J Stroke Cerebrovasc Dis Off J Natl Stroke Assoc. 2013;22(1):80–6.

    Article  Google Scholar 

  64. Auriel E, Greenberg SM. The pathophysiology and clinical presentation of cerebral amyloid angiopathy. Curr Atheroscler Rep. 2012;14(4):343–50.

    Article  CAS  PubMed  Google Scholar 

  65. Greenberg SM, Gurol ME, Rosand J, Smith EE. Amyloid angiopathy-related vascular cognitive impairment. Stroke. 2004;35(11 Suppl 1):2616–9.

    Article  PubMed  Google Scholar 

  66. Gurr DB, Ibbitson J. How does cognitive ability affect stroke rehabilitation outcomes? Int J Ther Rehabil. 2012;19(8):458–62.

    Article  Google Scholar 

  67. Napolitano E, Elovic EP, Qureshi AI. Pharmacological stimulant treatment of neurocognitive and functional deficits after traumatic and non-traumatic brain injury. Med Sci Monit. 2005;11(6):RA212–20.

    PubMed  Google Scholar 

  68. Hackam DG, Mrkobrada M. Selective serotonin reuptake inhibitors and brain hemorrhage: a meta-analysis. Neurology. 2012;79(18):1862–5.

    Article  CAS  PubMed  Google Scholar 

  69. Kharofa J, Sekar P, Haverbusch M, Moomaw C, Flaherty M, Kissela B, et al. Selective serotonin reuptake inhibitors and risk of hemorrhagic stroke. Stroke. 2007;38(11):3049–51.

    Article  CAS  PubMed  Google Scholar 

  70. Mead GE, Hsieh CF, Lee R, Kutlubaev M, Claxton A, Hankey GJ, et al. Selective serotonin reuptake inhibitors for stroke recovery: a systematic review and meta-analysis. Stroke. 2013;44(3):844–50.

    Article  PubMed  Google Scholar 

  71. Mortensen JK, Larsson H, Johnsen SP, Andersen G. Impact of prestroke selective serotonin reuptake inhibitor treatment on stroke severity and mortality. Stroke. 2014;45(7):2121–3.

    Article  CAS  PubMed  Google Scholar 

  72. Broderick J, Connolly S, Feldmann E, Hanley D, Kase C, Krieger D, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group. Stroke. 2007;38(6):2001–23.

    Article  PubMed  Google Scholar 

  73. Walia KS, Khan EA, Ko DH, Raza SS, Khan YN. Side effects of antiepileptics – a review. Pain Pract Off J World Inst Pain. 2004;4(3):194–203.

    Article  Google Scholar 

  74. Messe SR, Sansing LH, Cucchiara BL, Herman ST, Lyden PD, Kasner SE. Prophylactic antiepileptic drug use is associated with poor outcome following ICH. Neurocrit Care. 2009;11(1):38–44.

    Article  CAS  PubMed  Google Scholar 

  75. Naidech AM, Garg RK, Liebling S, Levasseur K, Macken MP, Schuele SU, et al. Anticonvulsant use and outcomes after intracerebral hemorrhage. Stroke. 2009;40(12):3810–5.

    Article  CAS  PubMed  Google Scholar 

  76. Zorowitz RD. Road to recovery: drugs used in stroke rehabilitation. Expert Rev Neurother. 2004;4(2):219–31.

    Article  CAS  PubMed  Google Scholar 

  77. Francisco GE, McGuire JR. Poststroke spasticity management. Stroke. 2012;43(11):3132–6.

    Article  PubMed  Google Scholar 

  78. Vose A, Nonnenmacher J, Singer ML, Gonzalez-Fernandez M. Dysphagia Management in Acute and sub-acute Stroke. Curr Physi Med Rehabil Rep. 2014;2(4):197–206.

    Article  Google Scholar 

  79. Linsenmeyer TA. Post-CVA voiding dysfunctions: clinical insights and literature review. NeuroRehabilitation. 2012;30(1):1–7.

    PubMed  Google Scholar 

  80. Coggrave M, Norton C. Management of faecal incontinence and constipation in adults with central neurological diseases. Cochrane Database Syst Rev. 2013;(12):Cd002115.

    Google Scholar 

  81. Batchelor FA, Mackintosh SF, Said CM, Hill KD. Falls after stroke. Int J Stroke Off J Int Stroke Soc. 2012;7(6):482–90.

    Article  Google Scholar 

  82. Hackett ML, Anderson CS, House A, Halteh C. Interventions for preventing depression after stroke. Cochrane Database Syst Rev. 2008;(3):Cd003689.

    Google Scholar 

  83. Campbell Burton CA, Holmes J, Murray J, Gillespie D, Lightbody CE, Watkins CL, et al. Interventions for treating anxiety after stroke. Cochrane Database Syst Rev. 2011;(12):Cd008860.

    Google Scholar 

  84. Nilsson MI, Fugl-Meyer K, von Koch L, Ytterberg C. Experiences of sexuality six years after stroke: a qualitative study. J Sex Med. 2017;14(6):797–803.

    Article  PubMed  Google Scholar 

  85. Viana R, Pereira S, Mehta S, Miller T, Teasell R. Evidence for therapeutic interventions for hemiplegic shoulder pain during the chronic stage of stroke: a review. Top Stroke Rehabil. 2012;19(6):514–22.

    Article  PubMed  Google Scholar 

  86. Harrison RA, Field TS. Post stroke pain: identification, assessment, and therapy. Cerebrovasc Dis. 2015;39(3–4):190–201.

    Article  PubMed  Google Scholar 

  87. Wu S, Kutlubaev MA, Chun HY, Cowey E, Pollock A, Macleod MR, et al. Interventions for post-stroke fatigue. Cochrane Database Syst Rev. 2015;(7):Cd007030.

    Google Scholar 

  88. Diamond PT. Rehabilitative management of post-stroke visuospatial inattention. Disabil Rehabil. 2001;23(10):407–12.

    Article  CAS  PubMed  Google Scholar 

  89. Greener J, Enderby P, Whurr R. Pharmacological treatment for aphasia following stroke. Cochrane Database Syst Rev. 2001;(4):CD000424.

    Google Scholar 

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Authors and Affiliations

  1. Physical Medicine and Rehabilitation, Emory University Hospital, Atlanta, GA, USA

    Benjamin A. Abramoff & Maria Beran

  2. Stroke Program, Northwest Hospital, The Sandra and Malcolm Berman Brain and Spine Institute, Baltimore, MD, USA

    Nicole D. Mahdi

  3. Neurology and Rehabiliation Medicine, Emory University, Atlanta, GA, USA

    Samir R. Belagaje

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  1. Benjamin A. Abramoff
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  2. Nicole D. Mahdi
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  3. Maria Beran
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  4. Samir R. Belagaje
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Correspondence to Samir R. Belagaje .

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Editors and Affiliations

  1. University of California, San Francisco Medical Center, San Francisco, CA, USA

    Bruce Ovbiagele

  2. University of Minnesota, Minneapolis, MN, USA

    Adnan I. Qureshi

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Abramoff, B.A., Mahdi, N.D., Beran, M., Belagaje, S.R. (2018). ICH Rehabilitation and Recovery. In: Ovbiagele, B., Qureshi, A. (eds) Intracerebral Hemorrhage Therapeutics. Springer, Cham. https://doi.org/10.1007/978-3-319-77063-5_11

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