Critical care of intracerebral and subarachnoid hemorrhage |
| |
Authors: | Gary L Bernardini MD PhD Eric M DeShaies MD |
| |
Institution: | (1) Departments of Neurology and Neurosurgery, Albany Medical Center, 47 New Scotland Avenue, MC-70, 12208-3479 Albany, NY, USA |
| |
Abstract: | The acute management of primary intracerebral or aneurysmal subarachnoid hemorrhage requires a comprehensive approach involving
stabilization of the patient, surgical intervention, and continued intensive care treatment of medical and neurologic complications.
The are several causes of intracerebral hemorrhage (ICH), including hypertension, cerebral amyloid angiopathy, sympathomimetic
drugs, and coagulopathies. More recently, use of thrombolytic agents in the treatment of acute ischemic stroke has increased
the risk of ICH. Treatment of intracerebral hemorrhage is based on blood pressure control, and, in selected cases, surgical
evacuation of clot. Patients with aneurysmal subarachnoid hemorrhage may experience rebleeding, symptomatic vasospasm, or
hydrocephalus. Medical management in the intensive care unit with careful attention to fluid and electrolyte balance, nutrition,
cardiopulmonary monitoring, and close observation for changes in the neurologic exam is vital. This review examines the diagnosis
and intensive care management of patients with intracerebral or subarachnoid hemorrhage, and reviews some of the newer therapies
for treatment of these disorders. |
| |
Keywords: | |
本文献已被 PubMed SpringerLink 等数据库收录! |
|