To generate clinically useful data for the proper medical care of patients with ICH, the NINDS workshop has recently defined three areas of clinical research as imperative (3): the careful evaluation of blood pressure goals in acute ICH, determination of the best approach to reversing antithrombotic-induced coagulopathy, and assessment of therapies to limit cerebral edema. Studies that address these clinical questions are currently being conducted.
It is hoped that future research in these areas will provide the clinician with sufficient data to make clinically directed decisions in patients with ICH. Until then, those who treat patients with this form of stroke will rely on the limited clinical research available and, more importantly, common sense.
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