SPONTANEOUS INTRACEREBRAL HEMORRHAGE: SECONDARY PREVENTION AND LONG-TERM PROGNOSIS

Magdy Selim, MD, PhD

Spontaneous intracerebral hemorrhage (ICH) is often associated with long-term neurologic symptoms, and patients with ICH have an elevated risk of recurrence. The document reviews current evidence on the management of hypertension in ICH patients, including the use of combination therapy to reduce recurrence rates. It also addresses the implications of resuming anticoagulation therapy in patients with atrial fibrillation following ICH, highlighting the balance between thromboembolic risk and ICH recurrence. The literature is continuously updated to reflect new evidence and peer-reviewed findings.