Magnesium for subarachnoid haemorrhage
Symptomatic cerebral vasospasm occurs in nearly one-third of patients with aneurysmal subarachnoid hemorrhage and is a major cause of disability and mortality in this population. Magnesium (Mg) acts as...
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Ultrasound of intracranial haematoma
Using a 2Mhz transducer insonating through the temporal acoustic bone window, Italian physicians detected the expansion of an extradural haematoma. In their discussion they highlight that transcranial...
View ArticleNew ICH Guidelines
A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association on the management of spontaneous intracerebral haemorrhage has been published in Stroke. The...
View ArticleCardiac arrest caused by subarachnoid haemorrhage
We know that subarachnoid haemorrhage (SAH) can cause cardiac arrest. Some questions we may have about this are: Questions What proportion of out-of-hospital cardiac arrests (OOHCA) who achieve return...
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Phentolamine for neurogenic pulmonary oedema
A single case report might not be practice changing, but it’s helpful to know about this option: A patient with acute intracerebral haemorrhage developed hyoxaemia due to neurogenic pulmonary oedema,...
View ArticleMagnesium doesn’t improve SAH outcome
A multicentre RCT showed intravenous magnesium sulphate does not improve clinical outcome after aneurysmal subarachnoid haemorrhage, therefore routine administration of magnesium cannot be recommended....
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Lowering the BP rapidly in ICH
In our retrieval service case reviews, one thing that is that sure to generate discussion is what to do about the blood pressure in patients who present with intracranial haemorrhage and hypertension....
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Early surgery for intracerebral haemorrhage
To operate or not to operate on patients with an intracerebral haematoma? Deep ones can be tricky and risk damage to surrounding brain, so superficial ones may be more likely to benefit. These patients...
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