Prognosis

The best predictor of outcome is the size of the hematoma. Massive cerebral hemorrhage is rapidly fatal and no treatment is indicated. Small hematomas recover like minor ischemic strokes, and management rests on control of risk factors, particularly hypertension, to prevent recurrence and avoidance of aspirin. It is the medium-size hematomas that demand urgent and vigorous treatment since these are life threatening through the development of mass effect. Neurosurgical advice should always be sought in these cases. The surgical management is discussed in detail elsewhere. Elderly patients and those with multiple bleeds (e.g. with amyloid angiopathy) fare badly. Functional recovery can be surprisingly good in younger subjects, and recurrence is rare and usually due to poor control of hypertension.

Blood Pressure Health

Blood Pressure Health

Your heart pumps blood throughout your body using a network of tubing called arteries and capillaries which return the blood back to your heart via your veins. Blood pressure is the force of the blood pushing against the walls of your arteries as your heart beats.Learn more...

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