This issue of Neurosurgical Focus contains a collection of articles related to changing treatment paradigms for intracerebral hemorrhage. Intracerebral hemorrhage from a variety of causes has been an understudied phenomenon given its prevalence and devastating consequences. New information about natural history, factors influencing outcome, elucidation of additional pathophysiological mechanisms, and neurointensive care management has led to a renewed enthusiasm to improve outcome based on rational treatment paradigms. More recently the introduction of many new anticoagulants and antiplatelet agents has presented new management dilemmas for physicians caring for patients with intracerebral hemorrhage. This collection of interesting papers will hopefully update the reader on current management controversies as well as emerging treatments that may offer promise to improve outcomes in these patients in the future.
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