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KMID : 0890520010030020127
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Korean Journal of Cerebrovascular Disease
2001 Volume.3 No. 2 p.127 ~ p.130
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Management of Spontaneous Intracerebral Hematoma
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함인석/In Suk Hamm
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Abstract
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There are many intractranial lesions causing spontaneous intracerebral hemorrhage, including hypertension, aneurysm, arteriovenous malformation, bleeding tumor, coagulopathy, amyloid angiopathy. In fact, the management of spontaneous
intracerebral
hemorrhage remains still a complex problem. The patient's age and consciousness, general condition, the hamatoma location, as well as the cause combine to affect the management outcome. In general, mortality and morbidity is increasing with
greater
patinet's age and hematoma size, deeper hematoma location. The emergent care and management usually are needed in almost all the patients with medical and surgical treatments. Acute medical management is required to control increased intracranial
pressure, to stablize cardiorespiratory system, and prevent further compication such as brain edema, hematoma expansion, seizure. Emergent surgical treatment should be sonsidered when surgical removal of hematoma would be benefit the patient's
condition
by decreasing mass effect and protecting the secondary injury to the surrounding normal brain.
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KEYWORD
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