Intracerebral Hemorrhage

Intracerebral Hemorrhage – Treating the First Two Hours as a Shared Emergency

The first two hours of ICH call for coordinated diagnosis, blood pressure control, clinically relevant anticoagulant reversal, appropriate vascular imaging, and early surgical discussion. Expansion markers inform risk, but improved bleeding control or clot removal does not consistently translate into better functional outcomes.

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Intracerebral Hemorrhage – Reading the Vessels, Limiting Expansion, and Preventing Recurrence

ICH care combines early efforts to limit hematoma expansion with imaging to identify the underlying vessel disease. Hemorrhage location and MRI findings inform recurrence assessment and anticoagulation decisions, but the balance between ischemic stroke prevention and recurrent bleeding remains uncertain for many survivors.

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Joshua Lukas, MD (Instagram: @Neurointensivist)

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