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Management of parenchymal haemorrhage 

Management of parenchymal haemorrhage
Chapter:
Management of parenchymal haemorrhage
Author(s):

Candice Delcourt

and Craig Anderson

DOI:
10.1093/med/9780199600830.003.0237
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date: 25 October 2020

Parenchymal intracerebral haemorrhage (ICH) affects several million people in the world each year, most of whom reside in developing countries. ICH accounts for 10-40% of strokes and is the least treatable form of stroke with a 30-day mortality of 30-55%, with half of these deaths occurring within the first few days of onset. . High blood pressure is both a causal and prognostic factor for ICH, with early control of hypertension being the only medical treatment which may improve recovery and the level of residual functioning. The role of surgery remains controversial. Management is largely supportive and aimed at reducing further brain injury and preventing complications.

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