Abstract
Treatment of intracerebral hemorrhage (ICH) may include medical management or surgical evacuation. When bleeding is due to an arteriovenous malformation (AVM) treatment may include combined neurosurgical/neuroradiological approaches. Currently there are accepted indications for early evacuation by open craniotomy in some types of ICH. Where indicated, this approach can be expected to reduce mortality, but the effect on functional outcome is less certain. Japanese researchers have pioneered the use of endoscopic evacuation in acute stages, sometimes with local application of thrombolytic agents, but this approach needs to be tested in controlled trials with other modalities. In cases related to arteriovenous malformations, treatment can be improved by a joint neuro-radiological/neurosurgical approach.
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Tuhrim, S., Grotta, J., Hondo, H., Gryzska, U. (1998). Surgical Treatment of Intracerebral Hemorrhage. In: Steiner, T., Hacke, W., Hanley, D.F. (eds) Stroke. Update in Intensive Care and Emergency Medicine, vol 27. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60264-1_15
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DOI: https://doi.org/10.1007/978-3-642-60264-1_15
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