الفهرس 
Introduction and epidemiologyOnly 14 pages are availabe for public view
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Abstract
Intracerebral Haemorrhage (ICH) is more than twice as common as subarachnoid haemrrhage (SA H) and is much more likely to result in death Or major disability than cerebral infarction or SAH. Pathophysiological change in small arteries and arterioles due to sustained hypertension is generally regarded as the most important cause of ICH.Cerebral amyloid angiopathy is increasingly recognized as a cause of lobar ICH .in the e elderly. Other causes of ICH include vascular malformations, ruptured aneurysms. coagulation disorders, use of anticoagulants and thrombolytic agents, hemorrhage into a cerebra! infarct, bleeding into brain tumors, and drug abuse. Despite numerous efforts by experts In many medical fields, the prognos is for patients suffering from spontaneous Intracerebral hemorrhage (ICH) still remains poor. Of the estimated 37,000 Americans who experienced an ICH in 1997, 35% to 52% were dead at I month; half of the deaths
Occurred within the first 2 days. Only 10, % patients were living independently at 1month; 20% were independent at 6 months. Current treatment strategies are aimed toward reducing intracranial pressure ( ICP) and maintaining adequate cerebral perfusion The three surgicaloptions for spontaneous ICH are either conventional open craniotomy.