Management of Spontaneous Intracerebral Hematoma

The incidence of spontaneous intracerebral hematoma (SICH) is even now high worldwide, especially higher in Japan than in Western countries, despite the development of advances in blood pressure (BP) management and food/alcohol intake education. Although mortality and morbidity for SICH are high, so...

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Bibliographic Details
Published inNeurologia medico-chirurgica Vol. 57; no. 11; pp. 563 - 574
Main Authors MORIOKA, Motohiro, ORITO, Kimihiko
Format Journal Article
LanguageEnglish
Japanese
Published Japan The Japan Neurosurgical Society 2017
THE JAPAN NEUROSURGICAL SOCIETY
Japan Science and Technology Agency
Subjects
Alcoholic beverages
Blood pressure
Cerebellum
Food intake
Hematoma
intracerebral hematoma
Morbidity
Review
Reviews
surgery
intracerebral hematoma
review
surgery
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Summary:The incidence of spontaneous intracerebral hematoma (SICH) is even now high worldwide, especially higher in Japan than in Western countries, despite the development of advances in blood pressure (BP) management and food/alcohol intake education. Although mortality and morbidity for SICH are high, some controversies remain regarding the appropriate acute phase of treatment. Recent studies have revealed that BP lowering treatment than 140 mmHg resulted in better outcomes. However the efficacy of surgical treatment for SICH has not been well established, with the exception of that for cerebellar SICH over 3 cm in diameter and life-saving procedures, although many randomized control studies and systematic reviews focused on surgical treatment have been reported. In this review, we summarize some issues and discuss strategies in development for the treatment of SICH.
ISSN:0470-8105
1349-8029
DOI:10.2176/nmc.ra.2016-0327