Current Updates in Perioperative Management of Intracerebral Hemorrhage

Spontaneous intracerebral hemorrhages (ICH) account for 10% to 30% of all strokes and are a result of acute bleeding into the brain by rupturing of small penetrating arteries. Despite major advancements during the past several decades in the management of ischemic strokes and other causes of hemorrhagic strokes, such as ruptured aneurysm, arteriovenous malformations (AVMs), or cavernous angioma, there has been limited progress made in the treatment of ICH. The prognosis for patients who suffer intracerebral hemorrhage remains poor. The societal impact of these hemorrhagic strokes is magnified by the fact that affected patients typically are a decade younger than those afflicted with ischemic strokes.