Intracerebral Hemorrhage Guidelines 2022: Key New Aspects

Updated guidelines are based on findings from several recent clinical trials.

Sponsoring Organization: American Heart Association/American Stroke Association (AHA/ASA)

Background and Objective

Intracerebral hemorrhage (ICH) continues to be a deadly form of stroke; 90-day mortality ranges from 15% to 40%. Because of increasing population age and use of anticoagulants and greater effects in poor and minority communities, the AHA/ASA compiled these evidence-based recommendations, updated from 2015 (NEJM JW Neurol Aug 2015 and Stroke 2015; 46:2032).

Key Recommendations

Use acute computed tomography angiography (CTA) and consider venography to exclude macrovascular causes or cerebral venous thrombosis in the following cases: Patients with lobar spontaneous ICH and age <70 years, deep/posterior fossa spontaneous ICH and age <4…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke