Stroke Revisited: Hemorrhagic Stroke pp 159-166 | Cite as
Principles and Techniques of Surgical Management of ICH
Chapter
First Online:
- 1k Downloads
Abstract
Intracerebral hemorrhage (ICH) is one of the most common classes of stroke. Indications for surgery in patients with ICH are largely dependent on patient age, level of consciousness, time elapsed since ICH onset, and the site and size of hemorrhage; however, research in ICH approach, management, surgical indications, and technical management have not completely addressed some of the most common complications of this condition. In this chapter we review the efficacy of craniotomy and hematoma evacuation in various presentations following ICH. We also discuss current guidelines by which endoscopic evacuation can be considered, conclusions from a number of trials involving stereotactic catheter aspiration with fibrinolytic agents, and the use of decompressive craniectomy. We conclude that the standard of care should continue to be refined as new evidence becomes available, specifically that which is concerned with hemorrhage type and location.
Keywords
Endoscopic Evacuation Decompressive Craniectomy (DC) Surgical Hematoma Evacuation American Heart Association/American Stroke Association (AHA/ASA) Perihematomal Edema (PHE)
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
References
- 1.van Asch CJ, Luitse MJ, Rinkel GJ, et al. Incidence, case fatality, and functional outcome of intracerebral haemorrhage over time, according to age, sex, and ethnic origin: a systematic review and meta-analysis. Lancet Neurol. 2010;9:167–76.CrossRefPubMedGoogle Scholar
- 2.Balami JS, Buchan AM. Complications of intracerebral haemorrhage. Lancet Neurol. 2012;11:101–18.CrossRefPubMedGoogle Scholar
- 3.Anderson CS, Chakera TM, Stewart-Wynne EG, et al. Spectrum of primary intracerebral haemorrhage in Perth, Western Australia, 1989-90: incidence and outcome. J Neurol Neurosurg. 1994;57:936–40.CrossRefGoogle Scholar
- 4.Hanley DF. Intracerebral haemorrhage. Lancet. 2011;373:1632–44.Google Scholar
- 5.Rennert RC, Signorelli JW, Abraham P, et al. Minimally invasive treatment of intracerebral hemorrhage. Expert Rev Neurother. 2015;15:919–33.PubMedGoogle Scholar
- 6.Hemphill JC, Greenberg SM, Anderson CS, et al. Guidelines for the management of spontaneous intracerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015;46:2032–60.CrossRefPubMedGoogle Scholar
- 7.Prasad K, Mendelow AD, Gregson B. Surgery for primary supratentorial intracerebral haemorrhage. Cochrane Database Syst Rev. 2008;8:CD000200.Google Scholar
- 8.Mendelow AD, Gregson BA, Fernandes HM, et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage (STICH): a randomised trial. Lancet. 2005;365:387–97.CrossRefPubMedGoogle Scholar
- 9.Broderick JP. The STICH trial: what does it tell us and where do we go from here? Stroke. 2005;36:1619–20.CrossRefPubMedGoogle Scholar
- 10.Mendelow AD, Gregson BA, Rowan EN, et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial. Lancet. 2013;382:397–408.CrossRefPubMedPubMedCentralGoogle Scholar
- 11.Kim JE, Ko SB, Kang HS, et al. Clinical practice guidelines for the medical and surgical management of primary intracerebral hemorrhage in Korea. J Korean Neurosurg Soc. 2014;56:175–87.CrossRefPubMedPubMedCentralGoogle Scholar
- 12.Vespa P, Hanley D, Betz J, et al. ICES (Intraoperative Stereotactic Computed Tomography-Guided Endoscopic Surgery) for brain hemorrhage. Stroke. 2016;47:2749–55.CrossRefPubMedGoogle Scholar
- 13.Zhou H, Zhang Y, Liu L, et al. Minimally invasive stereotactic puncture and thrombolysis therapy improves long-term outcome after acute intracerebral hemorrhage. J Neurol. 2011;258:661–9.CrossRefPubMedPubMedCentralGoogle Scholar
- 14.Hanley DF, Thompson RE, Muschelli J, et al. Safety and efficacy of minimally invasive surgery plus alteplase in intracerebral haemorrhage evacuation (MISTIE): a randomised, controlled, open-label, phase 2 trial. Lancet Neurol. 2016;15:1228–37.CrossRefPubMedPubMedCentralGoogle Scholar
- 15.Fung C, Murek M, Klinger-Gratz PP, et al. Effect of decompressive craniectomy on perihematomal edema in patients with intracerebral hemorrhage. PLoS One. 2016;11:4–12.Google Scholar
- 16.Fung C, Murek M, Z’Graggen WJ, et al. Decompressive hemicraniectomy in patients with supratentorial intracerebral hemorrhage. Stroke. 2012;43:3207–11.CrossRefPubMedGoogle Scholar
- 17.Satter A, Islam M, Haque M, et al. Comparison between decompressive craniectomy with durotomy and conservative treatment in spontaneous supratentorial intracerebral hemorrhage. Mymensingh Med J. 2016;25:316–25.PubMedGoogle Scholar
- 18.Steiner T, Al-Shahi Salman R, Beer R, et al. European stroke organisation (ESO) guidelines for the management of spontaneous intracerebral hemorrhage. Int J Stroke. 2014;9:840–55.CrossRefPubMedGoogle Scholar
- 19.Morgenstern LB, Demchuk AM, Kim DH, et al. Rebleeding leads to poor outcome in ultra-early craniotomy for intracerebral hemorrhage. Neurology. 2001;56:1294–9.CrossRefPubMedGoogle Scholar
- 20.Broderick J, Connolly S, Feldmann E, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association stroke council, high blood pressure research council, and the quality of care and out. Stroke. 2007;38:2001–23.CrossRefPubMedGoogle Scholar
- 21.de Oliveira Manoel AL, Goffi A, Zampieri FG, et al. The critical care management of spontaneous intracranial hemorrhage: a contemporary review. Crit Care. 2016;20:272.CrossRefPubMedPubMedCentralGoogle Scholar
Copyright information
© Springer Science+Business Media Singapore 2018