• Lewis B Morgenstern, J Claude Hemphill, Craig Anderson, Kyra Becker, Joseph P Broderick, E Sander Connolly, Steven M Greenberg, James N Huang, R Loch MacDonald, Steven R Messé, Pamela H Mitchell, Magdy Selim, Rafael J Tamargo, and American Heart Association Stroke Council and Council on Cardiovascular Nursing.
• Stroke. 2010 Sep 1; 41 (9): 2108-29.

PurposeThe aim of this guideline is to present current and comprehensive recommendations for the diagnosis and treatment of acute spontaneous intracerebral hemorrhage.MethodsA formal literature search of MEDLINE was performed. Data were synthesized with the use of evidence tables. Writing committee members met by teleconference to discuss data-derived recommendations. The American Heart Association Stroke Council's Levels of Evidence grading algorithm was used to grade each recommendation. Prerelease review of the draft guideline was performed by 6 expert peer reviewers and by the members of the Stroke Council Scientific Statements Oversight Committee and Stroke Council Leadership Committee. It is intended that this guideline be fully updated in 3 years' time.ResultsEvidence-based guidelines are presented for the care of patients presenting with intracerebral hemorrhage. The focus was subdivided into diagnosis, hemostasis, blood pressure management, inpatient and nursing management, preventing medical comorbidities, surgical treatment, outcome prediction, rehabilitation, prevention of recurrence, and future considerations.ConclusionsIntracerebral hemorrhage is a serious medical condition for which outcome can be impacted by early, aggressive care. The guidelines offer a framework for goal-directed treatment of the patient with intracerebral hemorrhage.

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