TBA

1. Intracerebral Hemorrhage:
Down, Not Out
Andrew Naidech, MD MSPH
a-naidech@northwestern.edu
SMACC 2015
Obs. Deck

2. 2
ICH Is the Sort of Disease That Drives People Away
From Neurology
2
How to stop
this?

3. Both “good outcome” but not the same
Both had mRS <=3
3
At 3 months, normal applied cognition
but impaired physical function.
At 3 months applied cognition
impaired, but normal mobility

4. Modified Rankin Scale
0. No symptoms.
1. No significantdisability;symptoms
present but no limitations.
2. Slightdisability,limitationsin
participationin usual social roles,
but independent for dailyliving.
3. Moderate disability,need for assistance
with some instrumentalbut not
basicactivities;ableto walk
independentlywith a device.
4. Moderate disability,need for assistance
with some basicactivities,but not
requiring constant care.
5. Severe disability,bed bound.
6. Dead.
Not
independent
Rankin = 4
Social roles
limited but
able to
ambulate
Rankin = 3

5. New Strategies Coming, and Doing Everything a Little Better
Minimize
Hematoma Growth
(PATCH, Stop-IT,
Desmopressin)
Evacuate Clot
(MISTIE)
Prevent
Complications
(Airway, Breathing
Coordination,
Delirium, Early
Mobility)
Better Outcomes
Assessment
What is the next
PA Catheter?
Should we back-
calculate for
patient-centered
outcome?