A Review Of Spontaneous Intracerebral Hemorrhage

Spontaneous intracerebral hemorrhage(SICH)is a Hematoma that arises in the brain parenchyma,trauma and surgery are excepted.This about accounts for 10 to 15% of all strokes and is connected with a higher mortality rate than both ischemic stroke and subarachnoid hemorrhage.General causes about SICH include hypertension,amyloid angiopathy,coagulopathy,tumors,vascular anomalies and various drugs.Hypertension always the most important modifiable risk factor for SICH.Computerized tomography scanning is the first diagnostic modality of choice about SICH,and angiography should be considered in all cases except those involving older patients with preexisting hypertension in putaminal,thalamic,or cerebellar hemorrhage.Medical therapy includes venous thrombosis prophylaxis,gastric cytoprotection,and aggressive rehabilitation.Anticonvulsant agents should be prescribed in supratentorial SICH,whereas the management of hypertension is controversial?...