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Chapter 12 - Intracerebral Hemorrhage in the Neurocritical Care Unit

Published online by Cambridge University Press:  24 July 2019

By
Xuemei Cai  and
Jonathan Rosand
Edited by
Michel T. Torbey
Michel T. Torbey
Affiliation:
Ohio State University
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Summary

Intracerebral hemorrhage (ICH) is nontraumatic spontaneous bleeding into the brain parenchyma. Annually, approximately 75,000 people in the United States suffer an ICH, which accounts for 10–30% of all stroke cases across different ethnic groups [1–3]. ICH is the most fatal and least treatable form of stroke with one month mortality exceeding 40% [4]. In addition, survivors suffer severe disability [5,6]. Patients with ICH require ICU management and patients cared for in specialized neurologic intensive care units are less likely to die as a result of their ICH [7,8]. Although, compared to ischemic stroke and subarachnoid hemorrhage, the pace of advances in management of ICH has been slow, ongoing trials in minimally invasive surgery and optimal medical management are underway [9,10].

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Neurocritical Care , pp. 129 - 145
Publisher: Cambridge University Press
Print publication year: 2019

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