Diagnosis and Management of Acute Intracerebral Hemorrhage

Andrea Morotti; Joshua N Goldstein

doi:10.1016/j.emc.2016.06.010

Diagnosis and Management of Acute Intracerebral Hemorrhage

Emerg Med Clin North Am. 2016 Nov;34(4):883-899. doi: 10.1016/j.emc.2016.06.010. Epub 2016 Sep 3.

Authors

Andrea Morotti¹, Joshua N Goldstein²

Affiliations

¹ J. P. Kistler Stroke Research Center, Massachusetts General Hospital, Harvard Medical School, 175 Cambridge Street, Suite 300, Boston, MA 02114, USA.
² J. P. Kistler Stroke Research Center, Massachusetts General Hospital, Harvard Medical School, 175 Cambridge Street, Suite 300, Boston, MA 02114, USA; Department of Emergency Medicine, Massachusetts General Hospital, Harvard Medical School, Zero Emerson Place, Suite 3B, Boston, MA 02114, USA. Electronic address: jgoldstein@partners.org.

Abstract

Intracerebral hemorrhage (ICH) is the deadliest type of stroke and up to half of patients die in hospital. Blood pressure management, coagulopathy reversal, and intracranial pressure control are the mainstays of acute ICH treatment. Prevention of hematoma expansion and minimally invasive hematoma evacuation are promising therapeutic strategies under investigation. This article provides an updated review on ICH diagnosis and management in the emergency department.

Keywords: Blood pressure; Coagulopathy; Hematoma expansion; Hemorrhagic stroke; Intracerebral hemorrhage; Neurocritical care.

Publication types

Review

MeSH terms

Acute Disease
Brain / diagnostic imaging
Cerebral Hemorrhage / diagnosis*
Cerebral Hemorrhage / diagnostic imaging
Cerebral Hemorrhage / therapy
Computed Tomography Angiography
Emergency Service, Hospital
Humans
Magnetic Resonance Imaging
Prognosis

Grants and funding

R01 NS073344/NS/NINDS NIH HHS/United States