Spontaneous intracerebral haemorrhage

@article{Salman2009SpontaneousIH,
  title={Spontaneous intracerebral haemorrhage},
  author={Rustam Al-Shahi Salman and Daniel L. Labovitz and Christian Stapf},
  journal={BMJ : British Medical Journal},
  year={2009},
  volume={339}
}
Spontaneous (non-traumatic) intracerebral haemorrhage accounts for at least 10% of all strokes in the United Kingdom,1 but the incidence is higher in some ethnic groups.w1 Intracerebral haemorrhage may present with a sudden focal neurological deficit or a reduced level of consciousness, after which it kills about half of those affected within one month and leaves most survivors disabled.2 Although early case fatality after spontaneous intracerebral haemorrhage has not changed over the past two… 
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A dedicated European research programme for ICH is needed to identify ways to reduce the burden of ICH-related death and disability and to conduct large clinical studies on all aspects of I CH.
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TLDR
Understanding the etiology reveals a somewhat clearer picture regarding treatment of intracerebral hemorrhage, and a pathophysiological basis of management should be followed for both different yet similar pathologies.
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TLDR
No standardised diagnostic workup for the detection of the various underlying causes of ICH currently exists, and the evidence for medical or surgical therapeutic interventions is weak, but a better understanding of the roles of various risk factors for ICH in the elderly is needed.
Clinical Profile and Outcomes in Patients with Acute Intracerebral Haemorrhage Presenting to the Emergency Department at a Tertiary Care Teaching Hospital, South India
TLDR
Males in their sixth decade were the most affected in the study on ICH, though putamen is the commonest site of haemorrhage, low Glasgow Coma Scores and high ICH scores were associated with increased mortality, and Mortality was high in patients with infratentorial bleed and volume > 40 c.c.d.
Epidemiology of Intracerebral Haemorrhage.
TLDR
The overall incidence of ICH has remained unchanged, but its regional incidence varies by race, sex, season and geographical location, and the beneficial effect of improving blood pressure control may be counterbalanced by the increased use of antithrombotic drugs.
Haemostatic drug therapies for acute spontaneous intracerebral haemorrhage.
TLDR
Haemostatic drugs cannot be recommended for the treatment of acute spontaneous ICH in clinical practice, but a large RCT would be justified.
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