Intracerebral Hemorrhage Prognosis and Management
Explains side is more commonly affected in intracerebral hemorrhage, intraventricular hemorrhage volume is considered lethal, and the prognosis of intracranial hemorrhage, especially cerebellar hemorrhage in practical Neurocritical Care care.
Duration
00:02:39
File size
1.58 MB
Practitioner-Guided Note
Counsel prognosis from hemorrhage volume, level of consciousness, and intraventricular extension rather than a single label. The lethal blood-volume threshold is a reminder that expansion and location drive outcome.
Key Takeaways
Intraventricular blood volume reaching 20 cc is typically considered lethal; Long-term impact is severe, the 6-month mortality rate or rate of severe, permanent disability can reach up to 70% to 75% for cerebellar presentations; Statistically, these hemorrhages occur more frequently on the left side of the brain; Yes, it is a major negative factor, and this is especially true for individuals who were taking active anticoagulation at the time of the bleed; Stop the medication immediately and fully reverse the anticoagulant effects, maintaining a hold on those therapies for at least one to two weeks