Stroke Revisited: Hemorrhagic Stroke pp 133-158 | Cite as
Medical Management of Hemorrhagic Stroke
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Abstract
Hemorrhagic stroke accounts for approximately 10–20% of all strokes and is the leading cause of disability and death in the world. Patients with hemorrhagic stroke are often accompanied by other organ failures, in particular lung and heart, at the time of presentation. In addition, neurological and medical emergencies that require intervention are complicated together with time-sensitive matters, which occur subsequent to the initial evaluation. Early neurologic deterioration often occurs in the early stage of brain injuries. These are the sufficient reasons why patients with hemorrhagic stroke should be taken care of in an intensive care unit or dedicated stroke unit with skilled physicians and trained nurses and monitored after diagnosis, and also, we have to learn the medical and neurocritical management for treating the patients with hemorrhagic stroke. This chapter is to describe the medical management principles of mainly two common subtypes of hemorrhagic stroke: spontaneous intracerebral hemorrhage and aneurysmal subarachnoid hemorrhage.
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