29.04.2024 | Neurocritical Care Through History
The Early Benchmarks of Outcome Determination in Cerebral Hemorrhage
verfasst von:
Eelco F. M. Wijdicks
Erschienen in:
Neurocritical Care
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Excerpt
Stroke (often called cerebrovascular accident in the 1950s) was mostly understood as ischemic injury due to occlusion of a large cerebral artery or as an intracerebral nontraumatic hemorrhage (ICH). Early studies of cerebral hemorrhage were hampered by lack of angiographic verification, lack of computed tomography, lack of autopsy confirmation, lack of neurosurgical options, lack of sufficient reversal of a coagulopathy, and other imperfections, such as timing (when to consider a clinical sign stable). The only available solution was careful assessment of the early trajectory of the patient with changing neurological examination. Early outcome assessment was crudely simplistic. …
