Intracerebral haemorrhage - acute event and chronic disease

Goeldlin, Martina and Radojewski, Piotr and Siepen, Bernhard and Mueller, Madlaine and Wiest, Roland and Mordasini, Pasquale and Polymeris, Alexandros and Engelter, Stefan T. and Lyrer, Philippe and Z'Graggen, Werner and Fischer, Urs and Seiffge, David. (2021) Intracerebral haemorrhage - acute event and chronic disease. THERAPEUTISCHE UMSCHAU, 78 (6). pp. 320-327.

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Official URL: https://edoc.unibas.ch/84736/

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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.
Faculties and Departments:03 Faculty of Medicine
UniBasel Contributors:Polymeris, Alexandros
Item Type:Article, refereed
Article Subtype:Further Journal Contribution
Publisher:Hogrefe publishing corp
Note:Publication type according to Uni Basel Research Database: Journal item
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Last Modified:06 May 2022 15:25
Deposited On:06 May 2022 15:23

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