Conclusions

• There is no medical treatment which has been proven by a randomized trial to improve patient outcome after ICH.
  
• No randomized trial has demonstrated benefit of surgery in patients with ICH.
  
• There is currently few RCT which have adequately evaluated the potential benefit of medical and surgical intervention for ICH.
  
• The I-STITCH trial should provide valuable insight into the efficacy of craniotomy and surgical evacuation of intracerebral hematoma.
  

References

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Kobayaski S, Miyata A, Serizawa T, et al. Treatment of cerebellar hemorrhage—surgical or conservative. Stroke. 1990; 21(8) Suppl: I-62.

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The content of these pages was written by Dr. Aninda Acharya of St.Louis University.

Last Revised: August 31, 2002