Surgical Indications and Options for Hypertensive Hemorrhages

Kelsey M Bowman; Azam S Ahmed

doi:10.1016/j.ncl.2021.12.001

Surgical Indications and Options for Hypertensive Hemorrhages

Neurol Clin. 2022 May;40(2):337-353. doi: 10.1016/j.ncl.2021.12.001. Epub 2022 Mar 31.

Authors

Kelsey M Bowman¹, Azam S Ahmed²

Affiliations

¹ Department of Neurological Surgery, University of Wisconsin, 600 Highland Avenue, K4/850, CSC-8660, Madison, Wisconsin 53792, USA.
² Department of Neurological Surgery, University of Wisconsin, 600 Highland Avenue, K4/850, CSC-8660, Madison, Wisconsin 53792, USA. Electronic address: azam.ahmed@neurosurgery.wisc.edu.

PMID: 35465879
DOI: 10.1016/j.ncl.2021.12.001

Abstract

The morbidity and mortality associated with spontaneous intracerebral haemorrhage high, with 40% reported mortality at 1 month and fewer than 40% of patients regaining functional independence. Despite advances made in the treatment of ischemic stroke, similar improvements have not been seen with intracerebral hemorrhage. Medical control of blood pressure and intracranial pressure, among other factors, are key to management. The impact of surgical intervention is less clear. This article reviews the data surrounding the surgical management of intracerebral hemorrhage, including open and minimally invasive techniques and discusses the controversies and future directions surrounding surgical management.

Keywords: Endoscopic surgery; Hypertensive hemorrhage; Intracerebral hemorrhage; Surgery.

Publication types

Review

MeSH terms

Cerebral Hemorrhage* / surgery
Humans
Treatment Outcome