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The puzzle of spontaneous versus traumatic intracranial hemorrhages

Authors :
Gabriel Alexander QuiƱones-Ossa
Yeider Durango-Espinosa
Huber Padilla-Zambrano
Luis Rafael Moscote-Salazar
Ravish Keni
Harsh Deora
Amit Agrawal
Source :
Egyptian Journal of Neurosurgery, Vol 35, Iss 1, Pp 1-9 (2020)
Publication Year :
2020
Publisher :
SpringerOpen, 2020.

Abstract

Abstract Intracerebral hemorrhage is hemorrhage occurring in the brain that can occur because of immediate trauma or structural disease process. The age-standardized mortality rate is decreasing worldwide especially in the past 20 years, but the number of cases and incidence along with number of disability-adjusted life-years and deaths keeps rising. Despite having half the incidence as ischemic stroke, intracerebral hemorrhage (traumatic or spontaneous) causes more morbidity and mortality than ischemic stroke and yet an established strategy for treatment on the lines of reperfusion therapy is a far-fetched dream. A selective review of all relevant articles covering recent treatment options and guidelines along with major emphasis of the surgical aspect and pathophysiology has been done. Complete literature review and differences between management of traumatic and spontaneous hemorrhage were sought and discussed. A pathophysiological basis of management should be followed for both these different yet similar pathologies. Understanding the etiology reveals a somewhat clearer picture regarding treatment of this highly unfortunate and devastating disease. Current interest is focused on the surgical management of the disease with the pathophysiology often been forgotten.

Details

Language :
English
ISSN :
25208225
Volume :
35
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Egyptian Journal of Neurosurgery
Publication Type :
Academic Journal
Accession number :
edsdoj.55cdc91bd164562b7bae0fc71215075
Document Type :
article
Full Text :
https://doi.org/10.1186/s41984-020-00084-9