Information ⬇
- Noncontrast head CT will confirm diagnosis.
- Rapidly identify and correct any coagulopathy.
- 35-45% of pts die in the first month; prognosis is determined by volume and location of hematoma.
- Stuporous or comatose pts generally are treated presumptively for elevated ICP. Treatment for edema and mass effect with osmotic agents may be necessary; glucocorticoids not helpful.
- Neurosurgical consultation should be sought for possible urgent evacuation of cerebellar hematoma; in other locations, data do not support surgical intervention.
Outline ⬆