... of thrombolysis, and, in a few patients, decompressive surgery. The time window for thrombolysis or thrombectomy can be extended beyond the usual 4.5 hours and 6 hours in a few patients who are likely to have significant penumbra. In intracerebral haemorrhages, blood pressure lowering and haemostatic therapy...

... of small-sized arteries and capillaries of leptomeninges and cerebral cortex. The accumulation of amyloid in brain vessels underlies most lobar intracerebral haemorrhages (ICH) in the elderly, but CAA’s clinical spectrum also includes cerebral ischaemia and cognitive decline. The term CNS vasculitis refers...

... velocity and spectral broadening. Fig. 9.8 Venous sinus thrombosis. (A) Non-contrast CT brain—hyperdense thrombus in sagittal sinus. (B) ‘Empty delta’ sign (absence of contrast in sinus) on CT venogram. (C, D) Contrast-enhanced T1 MRI—filling defect in sagittal sinus. Fig. 9.9 Intracerebral...

...) – – – + External validation + + + + Mode of presentation Nomogram Nomogram Nomogram Website ( 46 ) ^a Only the Oxfordshire Community Stroke project was used. Table 16.2 Comparison of prognostic scores used in intracerebral haemorrhage Stroke data...

... be used to detect brain ischaemia and seizures, to monitor sedation and aid prognosis. Intracerebral haemorrhage coma status epilepticus brain trauma brain monitoring continuous EEG monitoring intracranial pressure brain oedema electroencephalogram EEG monitoring compressed spectral array...

...Oxford University Press Cerebrovascular disease discusses the evidence-based management of acute stroke and transient ischaemic attacks (TIA), as well as secondary stroke prevention. Drug treatment of intracerebral haemorrhage (ICH), subarachnoid haemorrhage (SAH), and cerebral venous sinus...

... Evacuation and/or EVD Pons, midbrain, medulla – Conservative BG: basal ganglia, EVD: external ventricular drainage; ICH: intracerebral haemorrhage, IVH: intraventricular haemorrhage. Spontaneous intracerebral haemorrhage (ICH) is a devastating condition accounting for approximately 10–15...

...Oxford University Press Intracerebral haemorrhage (ICH) is a devastating form of acute stroke with a high mortality and morbidity for which there is still no proven effective medical treatment. The role of surgery, with the exception of ventricular drainage to treat acute hydrocephalus, also...

...Oxford University Press Spontaneous intracerebral haemorrhage (ICH) may be classified as primary or secondary. Secondary ICH includes those due to trauma; structural lesions such as aneurysms, arteriovenous malformations (AVMs), cavernomas, and neoplasms; as well as haemorrhage into arterial...

...Oxford University Press In this chapter on neurosurgery and anaesthesia, the authors give clear guidance for the management of time critical brain and neurological conditions, including raised intracerebral pressure, severe head injury, subarachnoid and intracerebral haemorrhage, sodium...

... artery), on top of thrombolysis in the absence of contraindication or alone otherwise, aspirin 300 mg, immediately or after 24 hours in case of thrombolysis, and, in a few patients, decompressive surgery. In intracerebral haemorrhages, blood pressure lowering and haemostatic therapy, when needed...

.... Table 5.2 Commonest causes of apparently ‘spontaneous’ intracerebral haemorrhage Causes Small vessel disease Small vessel disease (deep ICH) Cerebral amyloid angiopathy (lobar ICH) Genetic small vessel disease Large...