J Korean Neurosurg Soc.  2014 Sep;56(3):175-187. 10.3340/jkns.2014.56.3.175.

Clinical Practice Guidelines for the Medical and Surgical Management of Primary Intracerebral Hemorrhage in Korea

Affiliations
  • 1Department of Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
  • 2Department of Neurology, Seoul National University College of Medicine, Seoul, Korea. sangbai1378@gmail.com
  • 3Department of Neurosurgery, Good Morning Hospital, Pyeongtaek, Korea.
  • 4Department of Neurosurgery, Soonchunhyang University School of Medicine, Seoul, Korea.
  • 5Department of Neurosurgery, Bundang Jesaeng General Hospital, Seongnam, Korea.
  • 6Department of Neurosurgery, Inha University College of Medicine, Incheon, Korea.
  • 7Department of Neurosurgery, Wonkwang University School of Medicine, Iksan, Korea.
  • 8Department of Neurosurgery, Hanyang University College of Medicine, Guri, Korea.
  • 9Department of Neurology, Inje University College of Medicine, Goyang, Korea.
  • 10Department of Neurology, Hallym University College of Medicine, Anyang, Korea.
  • 11Department of Neurology, Yonsei University College of Medicine, Seoul, Korea.
  • 12Department of Neurology, University of Ulsan College of Medicine, Seoul, Koera.
  • 13Department of Neurosurgery, Gyeongsang National University School of Medicine, Incheon, Korea.
  • 14Department of Neurology, Inha University College of Medicine, Incheon, Korea.

Abstract

The purpose of this clinical practice guideline (CPG) is to provide current and comprehensive recommendations for the medical and surgical management of primary intracerebral hemorrhage (ICH). Since the release of the first Korean CPGs for stroke, evidence has been accumulated in the management of ICH, such as intracranial pressure control and minimally invasive surgery, and it needs to be reflected in the updated version. The Quality Control Committee at the Korean Society of cerebrovascular Surgeons and the Writing Group at the Clinical Research Center for Stroke (CRCS) systematically reviewed relevant literature and major published guidelines between June 2007 and June 2013. Based on the published evidence, recommendations were synthesized, and the level of evidence and the grade of the recommendation were determined using the methods adapted from CRCS. A draft guideline was scrutinized by expert peer reviewers and also discussed at an expert consensus meeting until final agreement was achieved. CPGs based on scientific evidence are presented for the medical and surgical management of patients presenting with primary ICH. This CPG describes the current pertinent recommendations and suggests Korean recommendations for the medical and surgical management of a patient with primary ICH.

Keyword

Clinical; Guideline; Treatment; Spontaneous; Intracerebral hemorrhage

MeSH Terms

Cerebral Hemorrhage*
Consensus
Humans
Intracranial Pressure
Korea
Peer Review
Quality Control
Stroke
Surgical Procedures, Minimally Invasive
Writing

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