Neuro-critical management of glycemia in spontaneous intracerebral hemorrhage: review of the literature
Navas-Marrugo, S.Zuleica.; Alvis-Miranda, H.Raphael.; Moscote-Salazar, L.Rafael.
Boletin de la Asociacion Medica de Puerto Rico 106(1): 60-68
2014
ISSN/ISBN: 0004-4849 PMID: 24791369 Document Number: 702521
Spontaneous cerebral hemorrhage or intracranial hemorrhage represents between 10 and 15% of all cerebrovascular events. Intracerebral hemorrhage is far less frequent than ischemic stroke, but leads to increased morbidity and mortality, one of the leading causes of severe disability. Several changes have been identified in the field of intracerebral hemorrhage, including endocrine. These stress-mediated mechanisms exacerbate secondary injury. Deep knowledge of the injuries that are directly involved in the alterations of glucose in the context of an intracerebral hemorrhage, offers a vision of how the cytotoxicity, neuronal death and metabolic disturbances alter the prognosis of patients with spontaneous intracerebral hemorrhage.
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