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Hemorrhagic Stroke

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Surgical Intensive Care Medicine

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Abstract

Intracranial hemorrhages are the most devastating cerebrovascular diseases. With further reduction of the mortality rate by emergency and critical care management, long-term outcome is mainly determined by the initial severity of the hemorrhage. Computed tomography (CT) is the diagnostic tool of choice. Emergency management should focus on restoration of airway, breathing, and circulation with attention to blood pressure and seizure control and treatment of intracranial hypertension including placement of an extraventricular drain for hydrocephalus. The focus of treatment should target reduction of hematoma expansion in patients with subdural, epidural, and intracerebral hemorrhage and prevention of rebleeding in patients with subarachnoid hemorrhage, followed by close monitoring, prevention, and therapy of delayed cerebral ischemia.

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Authors and Affiliations

  1. Neurointensive Care Unit, Department of Neurology, Martin-Luther-University, Halle-Wittenberg, Ernst-Grube-Strasse 40, 06120, Halle, Germany

    Katja E. Wartenberg MD, PhD

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  1. Katja E. Wartenberg MD, PhD
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Correspondence to Katja E. Wartenberg MD, PhD .

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Editors and Affiliations

  1. Department of Surgical Critical Care; Lahey Hospital and Medical Center, Division of Surgery, Burlington, Massachusetts, USA

    John M. O'Donnell

  2. Surgical Critical Care Medicine, Pr�-Card�o Hospital, Critical Care Medicine, University Hospital, Federal University of Rio de Janeiro, Rio de Janeiro, Rio de Janeiro, Brazil

    Flávio E. Nácul

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Wartenberg, K.E. (2016). Hemorrhagic Stroke. In: O'Donnell, J., Nácul, F. (eds) Surgical Intensive Care Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19668-8_18

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  • DOI: https://doi.org/10.1007/978-3-319-19668-8_18

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