Titre :

Intracerebral haemorrhage expansion: definitions, predictors, and prevention.

Auteur(s) :

Morotti, A. [Auteur]
Boulouis, Gregoire [Auteur]
Centre Hospitalier Régional Universitaire de Tours [CHRU Tours]
Dowlatshahi, D. [Auteur]
Li, Q. [Auteur]
Shamy, M. [Auteur]
Salman, R. A. [Auteur]
Rosand, J. [Auteur]
Cordonnier, Charlotte [Auteur]
Lille Neurosciences & Cognition (LilNCog) - U 1172
Goldstein, J. N. [Auteur]
Charidimou, A. [Auteur]

Titre de la revue :

Lancet Neurol

Numéro :

22

Pagination :

159-171

Date de publication :

2022-10-30

ISSN :

1474-4465

Discipline(s) HAL :

Sciences du Vivant [q-bio]

Résumé en anglais : [en]

Haematoma expansion affects a fifth of patients within 24 h of the onset of acute intracerebral haemorrhage and is associated with death and disability, which makes it an appealing therapeutic target. The time in which ...
Lire la suite >Haematoma expansion affects a fifth of patients within 24 h of the onset of acute intracerebral haemorrhage and is associated with death and disability, which makes it an appealing therapeutic target. The time in which active intervention can be done is short as expansion occurs mostly within the first 3 h after onset. Baseline haemorrhage volume, antithrombotic treatment, and CT angiography spot signs are each associated with increased risk of haematoma expansion. Non-contrast CT features are promising predictors of haematoma expansion, but their potential contribution to current models is under investigation. Blood pressure lowering and haemostatic treatment minimise haematoma expansion but have not led to improved functional outcomes in randomised clinical trials. Ultra-early enrolment and selection of participants on the basis of non-contrast CT imaging markers could focus future clinical trials to show clinical benefit in people at high risk of expansion or investigate heterogeneity of treatment effects in clinical trials with broad inclusion criteria.Lire moins >

Langue :

Anglais

Audience :

Internationale

Vulgarisation :

Non

Établissement(s) :

Université de Lille
Inserm
CHU Lille

Collections :

• Lille Neurosciences & Cognition (LilNCog) - U 1172

Date de dépôt :

2024-01-16T00:26:49Z
2024-06-03T07:45:51Z