Management of Spontaneous Intracerebral Hemorrhage

Authors

  • Audrey Melcus Département d’anesthésie réanimation, réanimation neurochirurgicale, hôpital de la Pitié Salpêtrière, 47-83, boulevard de l’hôpital, 75013 PARIS
  • Etienne Lefevre Service de neurochirurgie, hôpital de la Pitié Salpêtrière, 47-83, boulevard de l’hôpital, 75013 PARIS
  • Eimad Shotar Service de neuroradiologie interventionnelle, hôpital de la Pitié Salpêtrière, 47-83, boulevard de l’hôpital, 75013 PARIS
  • Lamine Abdennour Département d’anesthésie réanimation, réanimation neurochirurgicale, hôpital de la Pitié Salpêtrière, 47-83, boulevard de l’hôpital, 75013 PARIS
  • Vincent Degos Département d’anesthésie réanimation, réanimation neurochirurgicale, hôpital de la Pitié Salpêtrière, 47-83, boulevard de l’hôpital, 75013 PARIS
  • Jacquens Jacquens

DOI:

https://doi.org/10.37051/mir-34-002077

Keywords:

Non-traumatic intracerebral hemorrhage, Neurocritical care , Secondary brain injury, Monitoring, Intracranial pressure

Abstract

Spontaneous intracerebral hemorrhage is frequent and has a high mortality rate. Management of the Spontaneous intracerebral hemorrhage is based on early resuscitation. Severe cases patients must be transferred to specialized neuroscience centers with neurosurgical availability to improve prognosis. The aim of the treatment is to prevent secondary brain damage by optimizing blood pressure level, correcting coagulation abnormalities, optimizing intracranial hypertension and, in some cases, neurosurgical treatment. However there is no a standardized management algorithm and a clarification is therefore necessary to improve overall care.

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Published

2025-07-21

How to Cite

Melcus, A., Lefevre, E., Shotar, E., Abdennour, L., Degos, V., & Jacquens, J. (2025). Management of Spontaneous Intracerebral Hemorrhage. Médecine Intensive Réanimation, 34(2). https://doi.org/10.37051/mir-34-002077