ICH Rehabilitation and Recovery

  • Benjamin A. Abramoff
  • Nicole D. Mahdi
  • Maria Beran
  • Samir R. BelagajeEmail author


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.


ICH Rehabilitation Recovery Therapy Mortality Outcomes FUNC score Neuroplasticity Seizure Hydrocephalus Spasticity Dementia Depression 


  1. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  3. 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.CrossRefPubMedGoogle Scholar
  4. 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.CrossRefPubMedGoogle Scholar
  5. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 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.CrossRefPubMedGoogle Scholar
  7. 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.CrossRefPubMedGoogle Scholar
  8. 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.CrossRefPubMedGoogle Scholar
  9. 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.CrossRefPubMedGoogle Scholar
  10. 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.CrossRefPubMedGoogle Scholar
  11. 11.
    Stroke Unit Trialists’ Collaboration. Organised inpatient (stroke unit) care for stroke. Cochrane Database Syst Rev. 2013;(9):Cd000197.Google Scholar
  12. 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.CrossRefGoogle Scholar
  13. 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.CrossRefPubMedGoogle Scholar
  14. 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.CrossRefPubMedGoogle Scholar
  15. 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.CrossRefPubMedGoogle Scholar
  16. 16.
    Keith RA. The comprehensive treatment team in rehabilitation. Arch Phys Med Rehabil. 1991;72(5):269–74.PubMedGoogle Scholar
  17. 17.
    Keep RF, Hua Y, Xi G. Intracerebral haemorrhage: mechanisms of injury and therapeutic targets. Lancet Neurol. 2012;11(8):720–31.CrossRefPubMedGoogle Scholar
  18. 18.
    Xi G, Keep RF, Hoff JT. Mechanisms of brain injury after intracerebral haemorrhage. Lancet Neurol. 2006;5(1):53–63.CrossRefPubMedGoogle Scholar
  19. 19.
    Mracsko E, Veltkamp R. Neuroinflammation after intracerebral hemorrhage. Front Cell Neurosci. 2014;8:388.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    MacLellan CL, Silasi G, Auriat AM, Colbourne F. Rodent models of intracerebral hemorrhage. Stroke. 2010;41(10 Suppl):S95–8.CrossRefPubMedGoogle Scholar
  21. 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.CrossRefPubMedGoogle Scholar
  22. 22.
    Jang SH. A review of motor recovery mechanisms in patients with stroke. NeuroRehabilitation. 2007;22(4):253–9.PubMedGoogle Scholar
  23. 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.CrossRefGoogle Scholar
  24. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  25. 25.
    Feng W, Belagaje SR. Recent advances in stroke recovery and rehabilitation. Semin Neurol. 2013;33(5):498–506.CrossRefPubMedGoogle Scholar
  26. 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.CrossRefPubMedGoogle Scholar
  27. 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.CrossRefPubMedGoogle Scholar
  28. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  29. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  30. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 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.PubMedPubMedCentralCrossRefGoogle Scholar
  32. 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.CrossRefPubMedGoogle Scholar
  33. 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.CrossRefPubMedGoogle Scholar
  34. 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.CrossRefPubMedGoogle Scholar
  35. 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.CrossRefGoogle Scholar
  36. 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.CrossRefPubMedGoogle Scholar
  37. 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.CrossRefPubMedGoogle Scholar
  38. 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.PubMedPubMedCentralGoogle Scholar
  39. 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.CrossRefGoogle Scholar
  40. 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.CrossRefPubMedGoogle Scholar
  41. 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. 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.CrossRefGoogle Scholar
  43. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  44. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  45. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  46. 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.CrossRefPubMedGoogle Scholar
  47. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  48. 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.PubMedPubMedCentralGoogle Scholar
  49. 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.CrossRefPubMedGoogle Scholar
  50. 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.CrossRefPubMedGoogle Scholar
  51. 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.CrossRefPubMedGoogle Scholar
  52. 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.CrossRefPubMedGoogle Scholar
  53. 53.
    Balami JS, Buchan AM. Complications of intracerebral haemorrhage. Lancet Neurol. 2012;11(1):101–18.CrossRefPubMedGoogle Scholar
  54. 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.CrossRefPubMedGoogle Scholar
  55. 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.CrossRefPubMedPubMedCentralGoogle Scholar
  56. 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.CrossRefPubMedGoogle Scholar
  57. 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.CrossRefPubMedGoogle Scholar
  58. 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.CrossRefPubMedGoogle Scholar
  59. 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.CrossRefPubMedGoogle Scholar
  60. 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.CrossRefGoogle Scholar
  61. 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.CrossRefGoogle Scholar
  62. 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.CrossRefPubMedGoogle Scholar
  63. 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.CrossRefGoogle Scholar
  64. 64.
    Auriel E, Greenberg SM. The pathophysiology and clinical presentation of cerebral amyloid angiopathy. Curr Atheroscler Rep. 2012;14(4):343–50.CrossRefPubMedGoogle Scholar
  65. 65.
    Greenberg SM, Gurol ME, Rosand J, Smith EE. Amyloid angiopathy-related vascular cognitive impairment. Stroke. 2004;35(11 Suppl 1):2616–9.CrossRefPubMedGoogle Scholar
  66. 66.
    Gurr DB, Ibbitson J. How does cognitive ability affect stroke rehabilitation outcomes? Int J Ther Rehabil. 2012;19(8):458–62.CrossRefGoogle Scholar
  67. 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.PubMedGoogle Scholar
  68. 68.
    Hackam DG, Mrkobrada M. Selective serotonin reuptake inhibitors and brain hemorrhage: a meta-analysis. Neurology. 2012;79(18):1862–5.CrossRefPubMedGoogle Scholar
  69. 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.CrossRefPubMedGoogle Scholar
  70. 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.CrossRefPubMedGoogle Scholar
  71. 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.CrossRefPubMedGoogle Scholar
  72. 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.CrossRefPubMedGoogle Scholar
  73. 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.CrossRefGoogle Scholar
  74. 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.CrossRefPubMedGoogle Scholar
  75. 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.CrossRefPubMedGoogle Scholar
  76. 76.
    Zorowitz RD. Road to recovery: drugs used in stroke rehabilitation. Expert Rev Neurother. 2004;4(2):219–31.CrossRefPubMedGoogle Scholar
  77. 77.
    Francisco GE, McGuire JR. Poststroke spasticity management. Stroke. 2012;43(11):3132–6.CrossRefPubMedGoogle Scholar
  78. 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.CrossRefGoogle Scholar
  79. 79.
    Linsenmeyer TA. Post-CVA voiding dysfunctions: clinical insights and literature review. NeuroRehabilitation. 2012;30(1):1–7.PubMedGoogle Scholar
  80. 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. 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.CrossRefGoogle Scholar
  82. 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. 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. 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.CrossRefPubMedGoogle Scholar
  85. 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.CrossRefPubMedGoogle Scholar
  86. 86.
    Harrison RA, Field TS. Post stroke pain: identification, assessment, and therapy. Cerebrovasc Dis. 2015;39(3–4):190–201.CrossRefPubMedGoogle Scholar
  87. 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. 88.
    Diamond PT. Rehabilitative management of post-stroke visuospatial inattention. Disabil Rehabil. 2001;23(10):407–12.CrossRefPubMedGoogle Scholar
  89. 89.
    Greener J, Enderby P, Whurr R. Pharmacological treatment for aphasia following stroke. Cochrane Database Syst Rev. 2001;(4):CD000424.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Benjamin A. Abramoff
    • 1
  • Nicole D. Mahdi
    • 2
  • Maria Beran
    • 1
  • Samir R. Belagaje
    • 3
    Email author
  1. 1.Physical Medicine and RehabilitationEmory University HospitalAtlantaUSA
  2. 2.Stroke Program, Northwest HospitalThe Sandra and Malcolm Berman Brain and Spine InstituteBaltimoreUSA
  3. 3.Neurology and Rehabiliation MedicineEmory UniversityAtlantaUSA

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