Update on management of intracerebral hemorrhage.

Nader Pouratian, Neal F. Kassell, Aaron S. Dumont

Research output: Contribution to journalReview articlepeer-review

20 Scopus citations


Intracerebral hemorrhage (ICH) is a lingering cause of significant mortality and morbidity rates in contemporary society. Despite its established burden, considerably less investigative attention has been devoted to the study of ICH than other forms of stroke. Only a limited number of clinical studies have been performed to examine the surgical (both craniotomy and minimally invasive) and medical management of patients with ICH. No consistently efficacious strategies have been identified through such investigations. Limitations in study design and execution have universally impaired the interpretation and impact of available data. Management of ICH unfortunately remains heterogeneous across institutions, and it continues to suffer from the lack of proven medical and surgical effectiveness. Urgently needed are further prospective randomized controlled trials in which investigators consider the shortcomings of previous endeavors in the management of ICH. In the present article the authors review the current management practices of ICH, discuss the controlled trials, and highlight recent trials and future avenues of further study.

Original languageEnglish (US)
Pages (from-to)E2
JournalNeurosurgical focus
Issue number4
StatePublished - Oct 15 2003
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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