STROKE-ICH MANAGEMENT, SUPRATENTORIAL

SUMMARY

1. The balance of risk and benefit from early neurosurgical intervention for conscious patients with superficial lobar intracerebral haemorrhage of 10–100 mL and no intraventricular haemorrhage admitted within 48 h of ictus is unclear.

2. STITCH II trial tested the hypothesis that early surgery compared with initial conservative treatment could improve outcome in these patients.

3. Results confirm that early surgery does not increase the rate of death or disability at 6 months and might have a small but clinically relevant survival advantage for patients with spontaneous superficial intracerebral haemorrhage without intraventricular haemorrhage.

Reference(s)

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