Multidisciplinary rehabilitation with appropriate specialists (e.g., physical therapist, occupational therapist, speech and language pathologist) should be performed to improve functional outcome and reduce morbidity and mortality.[9]Greenberg SM, Ziai WC, Cordonnier C, et al. 2022 Guideline for the management of patients with spontaneous intracerebral hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke. 2022 Jul;53(7):e282-361.
https://www.ahajournals.org/doi/full/10.1161/STR.0000000000000407
http://www.ncbi.nlm.nih.gov/pubmed/35579034?tool=bestpractice.com
Use of a cognitive screening tool in the postacute period is useful to identify patients with cognitive impairment and dementia.[9]Greenberg SM, Ziai WC, Cordonnier C, et al. 2022 Guideline for the management of patients with spontaneous intracerebral hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke. 2022 Jul;53(7):e282-361.
https://www.ahajournals.org/doi/full/10.1161/STR.0000000000000407
http://www.ncbi.nlm.nih.gov/pubmed/35579034?tool=bestpractice.com
Administration of depression and anxiety screening tools in the postacute period is also recommended.[9]Greenberg SM, Ziai WC, Cordonnier C, et al. 2022 Guideline for the management of patients with spontaneous intracerebral hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke. 2022 Jul;53(7):e282-361.
https://www.ahajournals.org/doi/full/10.1161/STR.0000000000000407
http://www.ncbi.nlm.nih.gov/pubmed/35579034?tool=bestpractice.com
The main modifiable risk factor for recurrent hemorrhage is hypertension, which warrants close monitoring and treatment.
If the cause of the hemorrhage is uncertain and angiogram is negative, repeat magnetic resonance imaging within 1-4 months is recommended to allow time for the hematoma to resolve and a cavernoma to be identified.[178]Macellari F, Paciaroni M, Agnelli G, et al. Neuroimaging in intracerebral hemorrhage. Stroke. 2014 Mar;45(3):903-8.
https://www.ahajournals.org/doi/10.1161/STROKEAHA.113.003701
http://www.ncbi.nlm.nih.gov/pubmed/24425128?tool=bestpractice.com
A secondary cause, such as a tumor, may also be revealed.