Management controversy. Medical versus surgical therapy for spontaneous intracerebral hemorrhage.

The controversy surrounding the management of intracranial hemorrhage seems to have been quieted by a large group of recent studies. Future efforts must focus on expansion of the current population screening projects for early detection of hypertension. Whereas some potential exists for new innovative surgical techniques to offer some benefit, it should be kept in mind that most of these patients suffer from end-stage cardiovascular, cerebrovascular, and peripheral vascular disease.