Sprügel M, Huttner H, Gerner S (2020)
Publication Type: Journal article
Publication year: 2020
Book Volume: 39
Pages Range: 663-669
Journal Issue: 10
DOI: 10.1055/a-1238-7891
In recent years there have been significant advances in the acute treatment of patients with intracerebral hemorrhage (ICH) and subarachnoid hemorrhage (SAH). However, mortality remains high and functional outcome of surviving patients is often severely impaired. While ICH patients often suffer from motor deficits, SAH patients may be limited in daily activities due to concentration disorders, headaches, depression and cognitive impairment. Treatment of ICH focuses on prevention of early hematoma expansion by blood pressure management and hemostasis. Further, novel minimally invasive techniques for hemorrhage evacuation are currently at trial. The management of perihemorrhagic edema, intracranial pressure, ventricular involvement and hydrocephalus as well as long-term antithrombotic therapy remain challenging. In SAH, acute treatment relies on rapid aneurysm closure and hydrocephalus treatment. New aspects have also emerged in the prevention and treatment of vasospasms and secondary cerebral ischemia. Further research areas are optimal drainage management using ventricular and lumbar drains as well as intraventricular fibrinolysis. This review article deals with these relevant topics in acute and long-term treatment of ICH and SAH patients and provides an overview of current evidence and controversies in these treatment fields.
APA:
Sprügel, M., Huttner, H., & Gerner, S. (2020). Therapy of intracerebral and subarachnoid hemorrhage Therapie der intrazerebralen und subarachnoidalen Blutung. Nervenheilkunde, 39(10), 663-669. https://doi.org/10.1055/a-1238-7891
MLA:
Sprügel, Maximilian, Hagen Huttner, and Stefan Gerner. "Therapy of intracerebral and subarachnoid hemorrhage Therapie der intrazerebralen und subarachnoidalen Blutung." Nervenheilkunde 39.10 (2020): 663-669.
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