There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.
Abstract
Until very recently, no specific therapies have been demonstrated to improve outcome
after spontaneous intracerebral haemorrhage (ICH). The STICH (surgical treatment for
intracerebral haemorrhage) study showed no overall benefit from early surgery when
compared with initial conservative treatment. In contrast, the stereotactic aspiration
technique can be safely performed and in a uniform manner. Despite the reduction of
ICH volume, no improvement in mortality and functional result was obtained. Endoscopy
is a new therapeutic option for ICH with good results for hematoma removal. Based
on these feasibility studies, a randomized control trial regarding this procedure
would be required to assess the efficacy of this procedure. Due to the lack of benefit
observed in the recent STICH trial, emergency surgical evacuation should be reserved
for patients with large lobar haemorrhage, mass effect and rapidly deteriorating clinical
condition.