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Medical News and Perspectives
July 20, 2011

Promising New Procedure Offers Hope for Patients With Intracerebral Hemorrhage

JAMA. 2011;306(3):255-256. doi:10.1001/jama.2011.976

Intracerebral hemorrhage is often a devastating condition leading to disability and death, and current treatments are typically insufficient for reducing further complications or removing the clot. But preliminary results from a small study of a minimally invasive surgical technique offers hope that a dire prognosis need not be the norm for these patients.

Generally, the standard of care for intracerebral hemorrhage is blood pressure control and ventilation, with the hope that the hemorrhage will resolve by itself. Craniotomy to physically remove the clot is considered for an intracerebral hemorrhage that poses an imminent threat to life, but any success in removing such a clot has to be countered with the potential loss of brain tissue during the procedure. Daniel F. Hanley, MD, a professor of neurology at the Johns Hopkins University School of Medicine in Baltimore, and a growing number of neurosurgeons think there may be a better way.

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