Medical News and Perspectives |

Promising New Procedure Offers Hope for Patients With Intracerebral Hemorrhage

Mike Mitka
JAMA. 2011;306(3):255-256. doi:10.1001/jama.2011.976.
Text Size: A A A
Published online


Intracerebral hemorrhage is often a devastating condition leading to disability and death, and current treatments are typically insufficient for reducing further complications or removing the clot. But preliminary results from a small study of a minimally invasive surgical technique offers hope that a dire prognosis need not be the norm for these patients.

Generally, the standard of care for intracerebral hemorrhage is blood pressure control and ventilation, with the hope that the hemorrhage will resolve by itself. Craniotomy to physically remove the clot is considered for an intracerebral hemorrhage that poses an imminent threat to life, but any success in removing such a clot has to be countered with the potential loss of brain tissue during the procedure. Daniel F. Hanley, MD, a professor of neurology at the Johns Hopkins University School of Medicine in Baltimore, and a growing number of neurosurgeons think there may be a better way.

Figures in this Article

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview


Place holder to copy figure label and caption

Graphic Jump LocationImage not available.

Researchers are optimistic that a minimally invasive surgical technique can successfully treat some intracerebral hemorrhages.

(Photo credit: Zephyr/www.sciencesource.com)



Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Web of Science® Times Cited: 1

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Topics
PubMed Articles

The Rational Clinical Examination
Quick Reference

The Rational Clinical Examination
Make the Diagnosis: Does This Patient Have a Hemorrhagic Stroke?