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Spontaneous Intracerebral Hemorrhage in the Elderly

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Brain and Spine Surgery in the Elderly

Abstract

Spontaneous intracerebral hemorrhage (SICH) remains a significant etiology of morbidity and mortality in the general population and particularly the elderly patients. Classically, SICH may be secondary to uncontrolled arterial hypertension, amyloid angiopathy, and iatrogenic coagulopathy. Rarely it reveals a malignant intracerebral tumor, a venous thrombosis, or results from the transformation of an ischemic stroke and vascular malformation rupture as well. The management of SICH remains challenging as it associates the specific treatment of the hemorrhage (medical and/or surgical) but also the associated morbidity inherent to elderly patients such as nosocomial infections particularly urinary and aspiration pneumonia, venous thrombosis, and denutrition.

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Correspondence to Moncef Berhouma MD, MSc, FEBNS .

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Berhouma, M., Jacquesson, T., Jouanneau, E. (2017). Spontaneous Intracerebral Hemorrhage in the Elderly. In: Berhouma, M., Krolak-Salmon, P. (eds) Brain and Spine Surgery in the Elderly. Springer, Cham. https://doi.org/10.1007/978-3-319-40232-1_22

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  • DOI: https://doi.org/10.1007/978-3-319-40232-1_22

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