[Intracerebral haemorrhage - acute event and chronic disease].

Göldlin, Martina; Radojewski, Piotr; Siepen, Bernhard; Müller, Madlaine; Wiest, Roland; Mordasini, Pasquale; Polymeris, Alexandros; Engelter, Stefan T; Lyrer, Philippe; Z'Graggen, Werner; Fischer, Urs; Seiffge, David (2021). [Intracerebral haemorrhage - acute event and chronic disease]. Therapeutische Umschau, 78(6), pp. 320-327. Hogrefe 10.1024/0040-5930/a001276

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Intracerebral haemorrhage - acute event and chronic disease Abstract. Intracerebral hemorrhage accounts for 10-15% of all strokes and approximately 1'500-2'000 patients per year in Switzerland. Acute treatment by multi-disciplinary experts at certified stroke units and stroke centers is important to provide optimal care. A simple ABC-care bundle (revert anticoagulation, control blood pressure, inform neurosurgeon) decreases poor outcome. Despite a high mortality, one third of patients are functionally independent after intracerebral hemorrhage contradicting widespread pessimism. About 80% of all intracerebral hemorrhage are attributable to different types of cerebral small vessel disease. Relative and absolute risks of recurrent hemorrhage and ischemic stroke differ significantly. Patients with intracerebral hemorrhage are vascular high-risk patients with chronic cerebrovascular disease. Long-term outpatient management should include neurovascular specialists to deal with important decisions (blood pressure management, antithrombotic therapy including anticoagulation, specialized neurorehabilitation to improve neurocognitive deficits, therapy of possible complications such as epilepsy) to provide optimal and individual care to patients. Currently ongoing randomized controlled trials will provide important results in the next years further improving treatment of intracerebral hemorrhage.

Item Type:

Journal Article (Further Contribution)

Division/Institute:

04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurology
04 Faculty of Medicine > Department of Head Organs and Neurology (DKNS) > Clinic of Neurosurgery
04 Faculty of Medicine > Department of Radiology, Neuroradiology and Nuclear Medicine (DRNN) > Institute of Diagnostic and Interventional Neuroradiology

Graduate School:

Graduate School for Health Sciences (GHS)

UniBE Contributor:

Göldlin, Martina Béatrice, Radojewski, Piotr, Siepen, Bernhard Matthias, Müller, Madlaine, Wiest, Roland Gerhard Rudi, Mordasini, Pasquale Ranato, Z'Graggen, Werner Josef, Fischer, Urs Martin, Seiffge, David Julian

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0040-5930

Publisher:

Hogrefe

Language:

German

Submitter:

Martin Zbinden

Date Deposited:

04 Oct 2021 08:59

Last Modified:

02 Mar 2023 23:35

Publisher DOI:

10.1024/0040-5930/a001276

PubMed ID:

34291658

URI:

https://boris.unibe.ch/id/eprint/159376

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