Clinical Practice Guidelines for the Medical and Surgical Management of Primary Intracerebral Hemorrhage in Korea

The purpose of this clinical practice guideline (CPG) is to provide current and comprehensive recommendations for the medical and surgical management of primary intracerebral hemorrhage (ICH). Since the release of the first Korean CPGs for stroke, evidence has been accumulated in the management of ICH, such as intracranial pressure control and minimally invasive surgery, and it needs to be reflected in the updated version. The Quality Control Committee at the Korean Society of cerebrovascular Surgeons and the Writing Group at the Clinical Research Center for Stroke (CRCS) systematically reviewed relevant literature and major published guidelines between June 2007 and June 2013. Based on the published evidence, recommendations were synthesized, and the level of evidence and the grade of the recommendation were determined using the methods adapted from CRCS. A draft guideline was scrutinized by expert peer reviewers and also discussed at an expert consensus meeting until final agreement was achieved. CPGs based on scientific evidence are presented for the medical and surgical management of patients presenting with primary ICH. This CPG describes the current pertinent recommendations and suggests Korean recommendations for the medical and surgical management of a patient with primary ICH.

[1]  Mario Zuccarello,et al.  Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association , 2015, Stroke.

[2]  G. Murray,et al.  Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial , 2013, The Lancet.

[3]  M. Woodward,et al.  Rapid blood-pressure lowering in patients with acute intracerebral hemorrhage. , 2013, The New England journal of medicine.

[4]  A. Demchuk,et al.  The Intracerebral Hemorrhage Acutely Decreasing Arterial Pressure Trial , 2013, Stroke.

[5]  D. Hanley,et al.  Minimally Invasive Surgery Plus Recombinant Tissue-type Plasminogen Activator for Intracerebral Hemorrhage Evacuation Decreases Perihematomal Edema , 2013, Stroke.

[6]  Ming Liu,et al.  Minimally Invasive Surgery for Spontaneous Supratentorial Intracerebral Hemorrhage: A Meta-Analysis of Randomized Controlled Trials , 2012, Stroke.

[7]  Seung-Yeob Yang,et al.  Seizures after Spontaneous Intracerebral Hemorrhage , 2012, Journal of Korean Neurosurgical Society.

[8]  J. Broderick,et al.  Individual Patient Data Subgroup Meta-Analysis of Surgery for Spontaneous Supratentorial Intracerebral Hemorrhage , 2012, Stroke.

[9]  P. Derambure,et al.  Early seizures in intracerebral hemorrhage , 2011, Neurology.

[10]  S. Mayer,et al.  Multimodality Monitoring for Cerebral Perfusion Pressure Optimization in Comatose Patients With Intracerebral Hemorrhage , 2011, Stroke.

[11]  M. Boaz,et al.  Are post intracerebral hemorrhage seizures prevented by anti-epileptic treatment? , 2011, Epilepsy Research.

[12]  Y. Palesch,et al.  Antihypertensive Treatment of Acute Cerebral Hemorrhage (ATACH) II: Design, Methods, and Rationale , 2011, Neurocritical care.

[13]  H. Kamel,et al.  Hypertonic saline versus mannitol for the treatment of elevated intracranial pressure: A meta-analysis of randomized clinical trials* , 2011, Critical care medicine.

[14]  S. Schwab,et al.  Hypothermia Reduces Perihemorrhagic Edema After Intracerebral Hemorrhage , 2010, Stroke.

[15]  A. Qureshi.  Antihypertensive treatment of acute cerebral hemorrhage* , 2010, Critical care medicine.

[16]  J. Hemphill,et al.  Prospective validation of the ICH Score for 12-month functional outcome , 2009, Neurology.

[17]  D. Marion,et al.  Contemporary Management of Traumatic Intracranial Hypertension: Is There a Role for Therapeutic Hypothermia? , 2009, Neurocritical care.

[18]  S. Kasner,et al.  Prophylactic Antiepileptic Drug Use is Associated with Poor Outcome Following ICH , 2009, Neurocritical care.

[19]  D. Hanley,et al.  Frequency of Sustained Intracranial Pressure Elevation during Treatment of Severe Intraventricular Hemorrhage , 2009, Cerebrovascular Diseases.

[20]  Josemir W Sander,et al.  Minimally Invasive Craniopuncture Therapy vs. Conservative Treatment for Spontaneous Intracerebral Hemorrhage: Results from a Randomized Clinical Trial in China , 2009, International journal of stroke : official journal of the International Stroke Society.

[21]  V. Caso,et al.  Early seizures in patients with acute stroke: Frequency, predictive factors, and effect on clinical outcome , 2008, Vascular health and risk management.

[22]  C. Anderson,et al.  Intensive blood pressure reduction in acute cerebral haemorrhage trial (INTERACT): a randomised pilot trial , 2008, The Lancet Neurology.

[23]  E. Noser,et al.  Intraventricular hemorrhage , 2008, Neurology.

[24]  S. Mayer,et al.  Electrographic seizures and periodic discharges after intracerebral hemorrhage , 2007, Neurology.

[25]  Geoffrey T. Manley,et al.  IX. Cerebral Perfusion Thresholds , 2007 .

[26]  Geoffrey T. Manley,et al.  VIII. Intracranial Pressure Thresholds , 2007 .

[27]  Christopher S. Ogilvy,et al.  Guidelines for the Management of Spontaneous Intracerebral Hemorrhage in Adults. 2007 Update. Guideline From the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Gro , 2007, Stroke.

[28]  G. Pantazis,et al.  Early surgical treatment vs conservative management for spontaneous supratentorial intracerebral hematomas: A prospective randomized study. , 2006, Surgical neurology.

[29]  S. Schwab,et al.  Influence of intraventricular hemorrhage and occlusive hydrocephalus on the long-term outcome of treated patients with basal ganglia hemorrhage: a case-control study. , 2006, Journal of neurosurgery.

[30]  M. Kaste,et al.  Recommendations for the Management of Intracranial Haemorrhage – Part I: Spontaneous Intracerebral Haemorrhage , 2006, Cerebrovascular Diseases.

[31]  D. Cho,et al.  Endoscopic surgery for spontaneous basal ganglia hemorrhage: comparing endoscopic surgery, stereotactic aspiration, and craniotomy in noncomatose patients. , 2006, Surgical neurology.

[32]  A. Kessels,et al.  Meta analyses in treatment of spontaneous supratentorial intracerebral haematoma , 2006, Acta Neurochirurgica.

[33]  K. Fountas,et al.  Intraventricular Administration of rt-PA in Patients with Intraventricular Hemorrhage , 2005, Southern medical journal.

[34]  Chad M. Miller,et al.  Frameless stereotactic aspiration and thrombolysis of deep intracerebral hemorrhage is associated with reduction of hemorrhage volume and neurological improvement , 2005, Neurocritical care.

[35]  F. Rosendaal,et al.  The Effects of a Smoking Cessation Intervention on 14.5-Year Mortality , 2005, Annals of Internal Medicine.

[36]  S. Johnston,et al.  External validation of the ICH score , 2004, Neurocritical care.

[37]  Y. Katayama,et al.  Impact of stereotactic hematoma evacuation on activities of daily living during the chronic period following spontaneous putaminal hemorrhage: a randomized study. , 2004, Journal of neurosurgery.

[38]  S. Mayer,et al.  Intraventricular Thrombolysis Speeds Blood Clot Resolution: Results of a Pilot, Prospective, Randomized, Double-blind, Controlled Trial , 2004, Neurosurgery.

[39]  K. Slavin,et al.  Current management of intraventricular hemorrhage. , 2003, Surgical neurology.

[40]  M. Nuwer,et al.  Acute seizures after intracerebral hemorrhage , 2003, Neurology.

[41]  U. Ungerstedt,et al.  Assessment of the Lower Limit for Cerebral Perfusion Pressure in Severe Head Injuries by Bedside Monitoring of Regional Energy Metabolism , 2003, Anesthesiology.

[42]  S. Rossi,et al.  Seizures after Spontaneous Supratentorial Intracerebral Hemorrhage , 2002, Epilepsia.

[43]  T. Nose,et al.  Management of Spontaneous Cerebellar Hematomas: A Prospective Treatment Protocol , 2002 .

[44]  S. Haines,et al.  Fibrinolytic therapy for intraventricular hemorrhage in adults. , 2002, The Cochrane database of systematic reviews.

[45]  A. Tyagi,et al.  Management of Spontaneous Cerebellar Hematomas: A Prospective Treatment Protocol , 2001, Neurosurgery.

[46]  N. Venketasubramanian,et al.  Hypertensive basal ganglia hemorrhage: a prospective study comparing surgical and nonsurgical management. , 2001, Surgical neurology.

[47]  B. Mokri.  The Monro–Kellie hypothesis , 2001, Neurology.

[48]  A. Demchuk,et al.  Rebleeding leads to poor outcome in ultra-early craniotomy for intracerebral hemorrhage , 2001, Neurology.

[49]  G. Manley,et al.  The ICH Score , 2001 .

[50]  J. Ulatowski,et al.  Long‐term outcome after medical reversal of transtentorial herniation in patients with supratentorial mass lesions , 2000, Critical care medicine.

[51]  A. Algra,et al.  Treatment and outcome of severe intraventricular extension in patients with subarachnoid or intracerebral hemorrhage: a systematic review of the literature , 2000, Journal of Neurology.

[52]  M Uzura,et al.  Prevention of secondary ischemic insults after severe head injury. , 1999, Critical care medicine.

[53]  H. van Loveren,et al.  Early surgical treatment for supratentorial intracerebral hemorrhage: a randomized feasibility study. , 1999, Stroke.

[54]  J. Grotta,et al.  Guidelines for the management of spontaneous intracerebral hemorrhage: A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. , 1999, Stroke.

[55]  J. Grotta,et al.  Surgical treatment for intracerebral hemorrhage (STICH) , 1998, Neurology.

[56]  W. Coplin,et al.  Urokinase in the Treatment of Intraventricular Hemorrhage , 1998, The Annals of pharmacotherapy.

[57]  Haruko Yamamoto,et al.  Predisposing factors to enlargement of spontaneous intracerebral hematoma. , 1997, Stroke.

[58]  G. Schneider,et al.  Brain tissue pO2-monitoring in comatose patients: implications for therapy. , 1997, Neurological research.

[59]  N. Nakasato,et al.  Results of stereotactic aspiration in 175 cases of putaminal hemorrhage. , 1989, Neurosurgery.

[60]  A. Poranen,et al.  The treatment of spontaneous intracerebral hemorrhage. A prospective randomized trial of surgical and conservative treatment. , 1989, Journal of neurosurgery.

[61]  T. Brott,et al.  Intensive care for acute stroke in the community hospital setting. The first 24 hours. , 1989, Stroke.

[62]  E Körner,et al.  Endoscopic surgery versus medical treatment for spontaneous intracerebral hematoma: a randomized study. , 1989, Journal of neurosurgery.

[63]  L. Pitts,et al.  The effect of intracerebral hematoma location on the risk of brain-stem compression and on clinical outcome. , 1988, Journal of neurosurgery.

[64]  A. Pasqualin,et al.  Surgical versus medical treatment of spontaneous posterior fossa haematomas: a cooperative study on 205 cases. , 1984, Neurological research.

[65]  K. Uemura,et al.  Long-term evaluation of ultra-early operation for hypertensive intracerebral hemorrhage in 100 cases. , 1983, Journal of neurosurgery.

[66]  R. Narayan,et al.  Intracranial pressure: to monitor or not to monitor? A review of our experience with severe head injury. , 1982, Journal of neurosurgery.

[67]  D. Hanley,et al.  Preliminary findings of the minimally-invasive surgery plus rtPA for intracerebral hemorrhage evacuation (MISTIE) clinical trial. , 2008, Acta neurochirurgica. Supplement.

[68]  D. Hanley,et al.  Preliminary report of the clot lysis evaluating accelerated resolution of intraventricular hemorrhage (CLEAR-IVH) clinical trial. , 2008, Acta neurochirurgica. Supplement.

[69]  David W Wright,et al.  Guidelines for the management of severe traumatic brain injury. VIII. Intracranial pressure thresholds. , 2007, Journal of neurotrauma.

[70]  A. Qureshi,et al.  Antihypertensive treatment of acute cerebral hemorrhage (ATACH) , 2007, Neurocritical care.

[71]  David W Wright,et al.  Guidelines for the management of severe traumatic brain injury. IX. Cerebral perfusion thresholds. , 2007, Journal of neurotrauma.

[72]  A. Mendelow,et al.  Intraventricular hemorrhage and hydrocephalus after spontaneous intracerebral hemorrhage: results from the STICH trial. , 2006, Acta neurochirurgica. Supplement.

[73]  M. Fujii,et al.  Surgery for spontaneous intracerebral hemorrhage has greater remedial value than conservative therapy. , 2006, Surgical neurology.

[74]  F. Calenbergh,et al.  Controversies in the management of spontaneous cerebellar haemorrhage a consecutive series of 49 cases and review of the literature , 2005, Acta Neurochirurgica.

[75]  C. Franke,et al.  A Multicenter Randomized Controlled Trial ( SICHPA ) Stereotactic Treatment of Intracerebral Hematoma by Means of a Plasminogen Activator : , 2003 .

[76]  F. Diaz,et al.  Cerebral monitoring devices: analysis of complications. , 1998, Acta neurochirurgica. Supplement.

[77]  C. Kase.  Chapter 20 – Cerebellar Hemorrhage , 1994 .

[78]  T. Yoshimoto,et al.  Stereotactic aspiration of thalamic hematoma. Overall results of 75 aspirated and 70 nonaspirated cases. , 1990, Stereotactic and functional neurosurgery.

[79]  T. Yoshimoto,et al.  Stereotactic Aspiration of Thalamic , 1990 .

[80]  K. Katada,et al.  Role of surgery in hypertensive intracerebral hematoma. A comparative study of 305 nonsurgical and 154 surgical cases. , 1984, Journal of neurosurgery.

[81]  小暮 久也,et al.  Hypertensive intracerebral hemorrhage , 1983 .