Haematoma expansion: management

Evidence-based neurology checklist on haematoma expansion: management: Medical management Cautious reduction in blood pressure Reverse coagulopathy Haemostatic treatment: for warfarin-induced cases Surgical evacuation Ineffective treatments

Medical management

  • Cautious reduction in blood pressure
  • Reverse coagulopathy 
  • Haemostatic treatment: for warfarin-induced cases

Surgical evacuation

Ineffective treatments

References

  1. Goldstein JN, Greenberg SM. Should anticoagulation be resumed after intracerebral hemorrhage? Cleve Clin J Med 2010; 77:791-799.
  2. Moussouttas M. Challenges and controversies in the medical management of primary and antithrombotic-related intracerebral hemorrhage. Ther Adv Neurol Disord 2012; 5:43-56.
  3. Brouwers HB, Chang Y, Falcone GJ, et al. Predicting hematoma expansion after primary intracerebral hemorrhage. JAMA Neurol 2014; 71:158-164.
  4. Steiner T, Bosel J. Options to restrict hematoma expansion after spontaneous intracerebral hemorrhage. Stroke 2010; 41:402-409.
  5. Shimoda Y, Ohtomo S, Arai H, Okada K, Tominaga T. Satellite sign: a poor outcome predictor in intracerebral hemorrhage. Cerebrovasc Dis 2017; 44:105-112.

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