Surgery for Intracerebral Hemorrhage

Christina P. Rossitto; J. Mocco; Christopher P. Kellner

doi:10.1016/B978-0-323-69424-7.00072-7

Surgery for Intracerebral Hemorrhage

Christina P. Rossitto, J. Mocco, Christopher P. Kellner

Research output: Chapter in Book/Report/Conference proceeding › Chapter › peer-review

Abstract

The role of surgery in the treatment of spontaneous intracerebral hemorrhage (ICH) remains controversial. Current recommendations support performing surgery for large or compressive cerebellar hemorrhages. The benefit of surgery for supratentorial ICH has not been definitively demonstrated. Data from the Minimally Invasive Surgery with Thrombolysis in Intracerebral Hemorrhage Evacuation (MISTIE) trials and other studies suggest that effective removal of the blood clot may decrease perihematomal edema and improve outcomes in a dose-dependent fashion. With this knowledge, a wave of new minimally invasive evacuation studies is underway or under development to further explore this treatment strategy in a devastating form of stroke with few existing treatment options.

Original language	English
Title of host publication	Stroke
Subtitle of host publication	Pathophysiology, Diagnosis, and Management
Publisher	Elsevier
Pages	1047 and 1054.e2
ISBN (Electronic)	9780323694247
DOIs	https://doi.org/10.1016/B978-0-323-69424-7.00072-7
State	Published - 1 Jan 2021

Keywords

Endoport
Endoscopic
Hemorrhagic stroke
Intracerebral hemorrhage
Intracranial hemorrhage
Minimally invasive
Stereotactic guidance

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10.1016/B978-0-323-69424-7.00072-7

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title = "Surgery for Intracerebral Hemorrhage",

abstract = "The role of surgery in the treatment of spontaneous intracerebral hemorrhage (ICH) remains controversial. Current recommendations support performing surgery for large or compressive cerebellar hemorrhages. The benefit of surgery for supratentorial ICH has not been definitively demonstrated. Data from the Minimally Invasive Surgery with Thrombolysis in Intracerebral Hemorrhage Evacuation (MISTIE) trials and other studies suggest that effective removal of the blood clot may decrease perihematomal edema and improve outcomes in a dose-dependent fashion. With this knowledge, a wave of new minimally invasive evacuation studies is underway or under development to further explore this treatment strategy in a devastating form of stroke with few existing treatment options.",

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T1 - Surgery for Intracerebral Hemorrhage

AU - Rossitto, Christina P.

AU - Mocco, J.

AU - Kellner, Christopher P.

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N2 - The role of surgery in the treatment of spontaneous intracerebral hemorrhage (ICH) remains controversial. Current recommendations support performing surgery for large or compressive cerebellar hemorrhages. The benefit of surgery for supratentorial ICH has not been definitively demonstrated. Data from the Minimally Invasive Surgery with Thrombolysis in Intracerebral Hemorrhage Evacuation (MISTIE) trials and other studies suggest that effective removal of the blood clot may decrease perihematomal edema and improve outcomes in a dose-dependent fashion. With this knowledge, a wave of new minimally invasive evacuation studies is underway or under development to further explore this treatment strategy in a devastating form of stroke with few existing treatment options.

AB - The role of surgery in the treatment of spontaneous intracerebral hemorrhage (ICH) remains controversial. Current recommendations support performing surgery for large or compressive cerebellar hemorrhages. The benefit of surgery for supratentorial ICH has not been definitively demonstrated. Data from the Minimally Invasive Surgery with Thrombolysis in Intracerebral Hemorrhage Evacuation (MISTIE) trials and other studies suggest that effective removal of the blood clot may decrease perihematomal edema and improve outcomes in a dose-dependent fashion. With this knowledge, a wave of new minimally invasive evacuation studies is underway or under development to further explore this treatment strategy in a devastating form of stroke with few existing treatment options.

KW - Endoport

KW - Endoscopic

KW - Hemorrhagic stroke

KW - Intracerebral hemorrhage

KW - Intracranial hemorrhage

KW - Minimally invasive

KW - Stereotactic guidance

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SP - 1047 and 1054.e2

BT - Stroke

PB - Elsevier

ER -

Surgery for Intracerebral Hemorrhage

Abstract

Keywords

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