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Surgical Treatment of Hemorrhagic Stroke 

Surgical Treatment of Hemorrhagic Stroke
Surgical Treatment of Hemorrhagic Stroke
Acute Stroke Management in the First 24 Hours: A Practical Guide for Clinicians

Vladimir Ljubimov

, Travis Dailey

, and Siviero Agazzi


This chapter describes basic pathophysiology along with evidence-based indications for the decision-making process of medical versus surgical intervention in hemorrhagic strokes. Both the critical care management and surgical treatment of intracerebral and intraventricular hemorrhages, epidural and subdural hematomas, and subarachnoid hemorrhage are examined. The common completed landmark clinical trials, along with ongoing trials, of surgical treatment for intervention of hemorrhagic strokes are reviewed. The chapter concludes with two case-based treatment modalities and patient outcome. The following text is not a comprehensive guideline for the management of cerebral hemorrhages but rather a framework of principles supported through the literature for which to treat hemorrhagic stroke patients.

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