Hemorragia intracerebral espontánea Spontaneous intracerebral hemorrhage

Se conoce que la hemorragia intraparenquimatosa es una afección frecuentemente grave y se asocia a elevada mortalidad. Se afirma que menos del 30 % de los enfermos sobreviven 5 a os después del ictus inicial y pocos recuperan su total independencia funcional. Se realizó una revisión sobre los factores de riesgo, la fisiopatología y los problemas frecuentes implicados en el tratamiento médico. Se halló que, según los resultados del estudio prospectivo STICH, la cirugía no ha demostrado beneficios superiores al tratamiento médico. It is known that intraparenchymatous hemorrhage is a frequently severe affection and that it is associated with an elevated mortality. It is asserted that less than 30 % of the sick survive 5 years after the initial stroke and a few recovered their total functional independence. A review was made on the risk factors, the physiopathology and the common problems involved in the medical treatment. According to the results of the STICH prospective study, surgery has not showed better benefits than the medical treatment.