• Medicina · Jan 2022

    Review

    [Recommendations For The Management Of Spontaneous Intracerebral Hemorrhage During Hospitalization].

    • Santiago G Pigretti, Matías Mirofsky, Darío E García, Cristian Issac, Pascual Valdez, Gabriel G Persi, Carlos E Mamani, Jorgelina Guyon, Héctor Álvarez, Mariana Montes, José M Daza Aramayo, Pablo Iturrieta, Hernán Chaves, Verónica Sarmiento, Leandro Tumino, Gustavo Domeniconi, Rosa Castagna, Rodrigo Sabio, Walter Videtta, Nicolás Ciarrocchi, Damián Lerman, Daiana E Dossi, Natalia R Balian, Gonzalo Rufino Saravia, Matías J Alet, Federico Rodríguez Lucci, Celina Ciardi, Virginia Pujol Lereis, Santiago Claverie, Matías Casanova, Leonardo González, Juan Manuel Mónaco, Rolando E Cárdenas, Juan José Cirio, Jessica Arturi, Flavio Requejo, Pedro L Plou, Gabriela Orzuza, Pablo Bonardo, María Fernanda Díaz, Silvio Payaslian, María Gabriela Andrade, Maia M Gomez Schneider, Marina Romano, Pedro Colla Machado, José Arroyo, María Florencia Arcondo, Silvana Svampa, Cristian Armenteros, Virginia Tejada Jacob, and María Cristina Zurrú.
    • Sociedad Neurológica Argentina, Buenos Aires, Argentina. E-mail: spigretti@gmail.com.
    • Medicina (B Aires). 2022 Jan 1; 82 Suppl 4: 1561-56.

    AbstractStroke is the leading cause of neurological disability in people over 40 years of age and the fourth leading cause of death in Argentina. In the last ten years, the indexed publications related to the treatment of ischemic stroke were more numerous than those of hemorrhagic stroke. The objective of this material is to provide local and updated recommendations for the management of patients with spontaneous intracerebral hemorrhage during hospitalization. For the writing of this manuscript, diferent specialists were convened to form working groups. Ten central topics expressed as epidemiology, initial care, imaging, blood pressure treatment, reversal of antithrombotics, indication for surgery, seizure prophylaxis, prognosis, prevention of complications and resumption of antithrombotics were raised. For each topic, the most frequent questions of daily practice were raised through PICO questions. After a systematic review of the literature, recommendations were generated, evaluated using the GRADE system and agreed between authors and patients.

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