Antiplatelet Therapy and Intra-cranial Hemorrhage (ICH)

Treatment: Spontaneous ICH (intra-parenchymal) Studies suggest platelets may increase poor outcomes. (PATCH trial, etc) Note: trials excluded ruptured aneurysm, SDH and EDH Traumatic ICH (SDH, EPH) If neurosurgical intervention is NOT planned, recommendation is NOT to give platelets. If neurosurgical intervention IS planned within 24 hours: Obtain platelet function testing if possible If testing is normal, patient is anti-platelet resistant

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