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  • Print publication year: 2019
  • Online publication date: July 2019

Chapter 12 - Intracerebral Hemorrhage in the Neurocritical Care Unit

Summary

Intracerebral hemorrhage (ICH) is nontraumatic spontaneous bleeding into the brain parenchyma. Annually, approximately 75,000 people in the United States suffer an ICH, which accounts for 10–30% of all stroke cases across different ethnic groups [1–3]. ICH is the most fatal and least treatable form of stroke with one month mortality exceeding 40% [4]. In addition, survivors suffer severe disability [5,6]. Patients with ICH require ICU management and patients cared for in specialized neurologic intensive care units are less likely to die as a result of their ICH [7,8]. Although, compared to ischemic stroke and subarachnoid hemorrhage, the pace of advances in management of ICH has been slow, ongoing trials in minimally invasive surgery and optimal medical management are underway [9,10].

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