Modern handläggning av intracerebralt hematom
Mazya, Michael ; Bartek, Jiri and Hansen, Björn LU
(2023)
In Lakartidningen
120.
p.1-6
- Abstract
Intracerebral hemorrhage (ICH) carries the highest mortality and morbidity of all stroke types. Although small vessel disease accounts for the majority of ICH, there is a broad spectrum of other etiologies. Modern imaging techniques are a cornerstone of the work-up process. The goals of acute management are to prevent hematoma expansion, stabilize and prevent failure of vital functions, and establish the cause of ICH. ICH expansion can be alleviated by rapid correction of any contributing coagulopathy and antihypertensive treatment. Early prognostication within 24 hours after onset is imprecise. For this reason, international guidelines recommend postponing decision-making on withdrawal or limitation of care until at least the second... (More)
Intracerebral hemorrhage (ICH) carries the highest mortality and morbidity of all stroke types. Although small vessel disease accounts for the majority of ICH, there is a broad spectrum of other etiologies. Modern imaging techniques are a cornerstone of the work-up process. The goals of acute management are to prevent hematoma expansion, stabilize and prevent failure of vital functions, and establish the cause of ICH. ICH expansion can be alleviated by rapid correction of any contributing coagulopathy and antihypertensive treatment. Early prognostication within 24 hours after onset is imprecise. For this reason, international guidelines recommend postponing decision-making on withdrawal or limitation of care until at least the second full day of hospitalization. Indications for intensive care differ from those for neurosurgical treatment and should be assessed separately. Neurosurgical treatment is commonly recommended to reduce mortality in the presence of hydrocephalus or infratentorial hematomas with significant mass effect. In deteriorating patients with supratentorial ICH, surgical treatment can be considered as a life-saving treatment on an individual basis, with consideration given to anatomical location, level of consciousness and medical history.
(Less)
- author
- Mazya, Michael
; Bartek, Jiri
and Hansen, Björn
LU
- alternative title
- Treatment of intracerebral hemorrhage - An overview
- publishing date
- 2023-09-05
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Lakartidningen
- volume
- 120
- pages
- 1 - 6
- publisher
- Swedish Medical Association
- external identifiers
-
- pmid:37668115
- scopus:85169848754
- ISSN
- 0023-7205
- language
- Swedish
- LU publication?
- no
- id
- f97b1097-23d0-49e5-a13e-2f1f7ae96315
- alternative location
- https://lakartidningen.se/wp-content/uploads/2023/09/23056.pdf
- date added to LUP
- 2025-05-26 22:27:48
- date last changed
- 2025-07-22 02:56:50
@article{f97b1097-23d0-49e5-a13e-2f1f7ae96315,
abstract = {{<p>Intracerebral hemorrhage (ICH) carries the highest mortality and morbidity of all stroke types. Although small vessel disease accounts for the majority of ICH, there is a broad spectrum of other etiologies. Modern imaging techniques are a cornerstone of the work-up process. The goals of acute management are to prevent hematoma expansion, stabilize and prevent failure of vital functions, and establish the cause of ICH. ICH expansion can be alleviated by rapid correction of any contributing coagulopathy and antihypertensive treatment. Early prognostication within 24 hours after onset is imprecise. For this reason, international guidelines recommend postponing decision-making on withdrawal or limitation of care until at least the second full day of hospitalization. Indications for intensive care differ from those for neurosurgical treatment and should be assessed separately. Neurosurgical treatment is commonly recommended to reduce mortality in the presence of hydrocephalus or infratentorial hematomas with significant mass effect. In deteriorating patients with supratentorial ICH, surgical treatment can be considered as a life-saving treatment on an individual basis, with consideration given to anatomical location, level of consciousness and medical history.</p>}},
author = {{Mazya, Michael and Bartek, Jiri and Hansen, Björn}},
issn = {{0023-7205}},
language = {{swe}},
month = {{09}},
pages = {{1--6}},
publisher = {{Swedish Medical Association}},
series = {{Lakartidningen}},
title = {{Modern handläggning av intracerebralt hematom}},
url = {{https://lakartidningen.se/wp-content/uploads/2023/09/23056.pdf}},
volume = {{120}},
year = {{2023}},
}