2022 Guideline for the Management of Patients With Spontaneous Intracerebral Hemorrhage: A Guideline From the American Heart Association/American Stroke Association

Key Points

• To provide comprehensive, evidence-based recommendations for the diagnosis and acute-to-long-term management of adults with spontaneous intracerebral hemorrhage.
• Expert consensus panel evaluated contemporary randomized clinical trials, observational studies, and systematic reviews through comprehensive literature synthesis.
• Recommendations were categorized according to the American Heart Association/American Stroke Association class of recommendation and level of evidence grading framework.
• Presents updated clinical protocols for rapid neuroimaging, acute blood pressure control, coagulopathy reversal, and neurointensive care monitoring.
• Outlines indications for minimally invasive surgical hematoma evacuation, intracranial pressure management, and secondary stroke prevention strategies.