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Guidelines for the Management of Spontaneous Intracerebral Hemorrhage in Adults

Stroke · 2007 · Vol. 38(6) · pp. 2001–2023
Joseph P. BroderickSander ConnollyEdward FeldmannDaniel F. HanleyCarlos S. KaseDerk KriegerMarc R. MaybergLewis B. MorgensternChristopher S. OgilvyPaul VespaMario Zuccarello

Abstract

Evidence-based guidelines are presented for the diagnosis of intracerebral hemorrhage, the management of increased arterial blood pressure and intracranial pressure, the treatment of medical complications of intracerebral hemorrhage, and the prevention of recurrent intracerebral hemorrhage. Recent trials of recombinant factor VII to slow initial bleeding are discussed. Recommendations for various surgical approaches for treatment of spontaneous intracerebral hemorrhage are presented. Finally, withdrawal-of-care and end-of-life issues in patients with intracerebral hemorrhage are examined.

Intracerebral and Subarachnoid Hemorrhage ResearchNeurosurgical Procedures and ComplicationsTraumatic Brain Injury and Neurovascular DisturbancesMedicineIntracerebral hemorrhageSpontaneous intracerebral hemorrhageStroke (engine)Intensive care medicineInternal medicineSubarachnoid hemorrhage

MeSH terms

AdultAmerican Heart AssociationBlood PressureCerebral HemorrhageHumansHypertensionNational Academy of Sciences, U.S.Quality of Health CareUnited States

Funding

  • Bristol-Myers Squibb
  • Eli Lilly and Company
  • AstraZeneca
  • GlaxoSmithKline
  • Sanofi
  • Cleveland Clinic
  • Cleveland Clinic Foundation
  • Boston Scientific Corporation
  • Novo Nordisk
  • Genentech
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