In this episode the hosts discuss hemorrhagic strokes. Click here to see the details. Key Terms: ICH, blood pressure control, spot signHosts: Phavalan Rajendram, Neha Patel, Houman KhosravaniSummary:Hemorrhagic strokes (HS) account for ~15-20% of all strokes There is a significant morbidity and mortality associated with HSEarly blood pressure control is key in the management of HSCTA can identify a spot sign (may indicate increased risk of hematoma expansion)EtiologiesFind out if the patient is on anticoagulation so that it can be reversedMake sure the patient is stable before CT scan (may need anti-emetics, intubation, etc.)Early blood pressure control is keyBlood pressure target < 140/90See ATACH-2 and INTERACT trials on BP control in ICH Consult NSx early as surgical options may be available See STICH-2 trial on surgical management of superficial ICH without IVHPrognostication can be aided with “ICH Score”

Ver todos los episodios