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08 Blood in the Brain is Bad (BBB)
Manage episode 312718386 series 3243074
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Key Terms: ICH, blood pressure control, spot sign
Hosts: Phavalan Rajendram, Neha Patel, Houman Khosravani
Summary:
- Hemorrhagic strokes (HS) account for ~15-20% of all strokes
- There is a significant morbidity and mortality associated with HS
- Early blood pressure control is key in the management of HS
- CTA can identify a spot sign (may indicate increased risk of hematoma expansion)
- Etiologies
- Find out if the patient is on anticoagulation so that it can be reversed
- Make sure the patient is stable before CT scan (may need anti-emetics, intubation, etc.)
- Early blood pressure control is key
- Blood pressure target < 140/90
- Consult NSx early as surgical options may be available
- See STICH-2 trial on surgical management of superficial ICH without IVH
- See STICH-2 trial on surgical management of superficial ICH without IVH
- Prognostication can be aided with “ICH Score”
27 episodes
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