Acute management of stroke - II

Haemorrhagic stroke

Trevor T J Chong, Marco Fedi

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Haemorrhagic strokes are relatively less common compared to ischaemic strokes, with the vast majority of haemorrhages being intracerebral as opposed to subarachnoid. The definitive diagnosis of a haemorrhagic stroke is based on non-contrast CT imaging of the brain. Acute care should focus on prompt identification of the cause, minimizing the risk of haemorrhage expansion by controlling blood pressure and correcting any underlying coagulopathy, and obliterating vascular lesions with a high risk of rebleeding. Patients should be closely monitored, and emergent surgery should be considered in those patients who display signs of clinical deterioration, especially in the presence of posterior fossa haemorrhages. Future directions include refining the use of bedside neuro-monitoring and neuro-imaging techniques as well as developing novel approaches to minimize the complications of haemorrhagic stroke.

Original languageEnglish
Pages (from-to)366-370
Number of pages5
JournalAnaesthesia and Intensive Care Medicine
Volume14
Issue number9
DOIs
Publication statusPublished - Sep 2013
Externally publishedYes

Keywords

  • intracerebral haemorrhage
  • intraventricular haemorrhage
  • outcome
  • perimesencephalic haemorrhage
  • stroke
  • subarachnoid haemorrhage

Cite this

@article{b1a768c094014c0e8f20afb0f8eef8a2,
title = "Acute management of stroke - II: Haemorrhagic stroke",
abstract = "Haemorrhagic strokes are relatively less common compared to ischaemic strokes, with the vast majority of haemorrhages being intracerebral as opposed to subarachnoid. The definitive diagnosis of a haemorrhagic stroke is based on non-contrast CT imaging of the brain. Acute care should focus on prompt identification of the cause, minimizing the risk of haemorrhage expansion by controlling blood pressure and correcting any underlying coagulopathy, and obliterating vascular lesions with a high risk of rebleeding. Patients should be closely monitored, and emergent surgery should be considered in those patients who display signs of clinical deterioration, especially in the presence of posterior fossa haemorrhages. Future directions include refining the use of bedside neuro-monitoring and neuro-imaging techniques as well as developing novel approaches to minimize the complications of haemorrhagic stroke.",
keywords = "intracerebral haemorrhage, intraventricular haemorrhage, outcome, perimesencephalic haemorrhage, stroke, subarachnoid haemorrhage",
author = "Chong, {Trevor T J} and Marco Fedi",
year = "2013",
month = "9",
doi = "10.1016/j.mpaic.2013.07.005",
language = "English",
volume = "14",
pages = "366--370",
journal = "Anaesthesia and Intensive Care Medicine",
issn = "1472-0299",
publisher = "Elsevier",
number = "9",

}

Acute management of stroke - II : Haemorrhagic stroke. / Chong, Trevor T J; Fedi, Marco.

In: Anaesthesia and Intensive Care Medicine, Vol. 14, No. 9, 09.2013, p. 366-370.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Acute management of stroke - II

T2 - Haemorrhagic stroke

AU - Chong, Trevor T J

AU - Fedi, Marco

PY - 2013/9

Y1 - 2013/9

N2 - Haemorrhagic strokes are relatively less common compared to ischaemic strokes, with the vast majority of haemorrhages being intracerebral as opposed to subarachnoid. The definitive diagnosis of a haemorrhagic stroke is based on non-contrast CT imaging of the brain. Acute care should focus on prompt identification of the cause, minimizing the risk of haemorrhage expansion by controlling blood pressure and correcting any underlying coagulopathy, and obliterating vascular lesions with a high risk of rebleeding. Patients should be closely monitored, and emergent surgery should be considered in those patients who display signs of clinical deterioration, especially in the presence of posterior fossa haemorrhages. Future directions include refining the use of bedside neuro-monitoring and neuro-imaging techniques as well as developing novel approaches to minimize the complications of haemorrhagic stroke.

AB - Haemorrhagic strokes are relatively less common compared to ischaemic strokes, with the vast majority of haemorrhages being intracerebral as opposed to subarachnoid. The definitive diagnosis of a haemorrhagic stroke is based on non-contrast CT imaging of the brain. Acute care should focus on prompt identification of the cause, minimizing the risk of haemorrhage expansion by controlling blood pressure and correcting any underlying coagulopathy, and obliterating vascular lesions with a high risk of rebleeding. Patients should be closely monitored, and emergent surgery should be considered in those patients who display signs of clinical deterioration, especially in the presence of posterior fossa haemorrhages. Future directions include refining the use of bedside neuro-monitoring and neuro-imaging techniques as well as developing novel approaches to minimize the complications of haemorrhagic stroke.

KW - intracerebral haemorrhage

KW - intraventricular haemorrhage

KW - outcome

KW - perimesencephalic haemorrhage

KW - stroke

KW - subarachnoid haemorrhage

UR - http://www.scopus.com/inward/record.url?scp=84883511778&partnerID=8YFLogxK

U2 - 10.1016/j.mpaic.2013.07.005

DO - 10.1016/j.mpaic.2013.07.005

M3 - Article

VL - 14

SP - 366

EP - 370

JO - Anaesthesia and Intensive Care Medicine

JF - Anaesthesia and Intensive Care Medicine

SN - 1472-0299

IS - 9

ER -