Intracerebral haemorrhage (ICH): surgical treatments
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Intracerebral haemorrhage (ICH): surgical treatments. There is no advantage of early haematoma evacuation. Fully referenced neurology checklist.
General principles
- There is no advantage of early haematoma evacuation
- Best outcomes for early evacuation is if the patient is deteriorating
- Surgical drainage is preferable to ventricular drainage in cerebellar ICH
Clot evacuation: techniques
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Clot evacuation: indications for cerebellar ICH
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Clot evacuation: indications for hemispheric ICH
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Ventricular drainage
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Emerging surgical treatments
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References
- Rincon F, Mayer SA. Clinical review: critical care management of spontaneous intracerebral hemorrhage. Critical Care 2008; 12:237.
- Morgenstern LB, Hemphill III JC, Anderson C, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Strike Association. Stroke 2010; 41:2108-2129.
- Hemphill JC 3rd, Greenberg SM, Anderson CS, et al; American Heart Association Stroke Council; Council on Cardiovascular and Stroke Nursing; Council on Clinical Cardiology. Guidelines for the Management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2015; 46:2032-2060.
- Barrett RJ, Hussain R, Coplin WM, et al. Frameless stereotactic aspiration and thrombolysis of spontaneous intracerebral hemorrhage. Neurocrit Care 2005; 3:237-245.
- Murthy JMK, Chowdary GVS, Murthy TVRK, Bhasha PSA, Naryanan TJ. Decompressive craniotomy with clot evacuation in large hemispheric intracerebral hemorrhage. Neurocrit Care 2005; 2:258-262.
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