Background: Spontaneous non-traumatic intracerebral hemorrhage (ICH) has a worse prognosis than
ischemic stroke. The purpose of this review was to update the reader on epidemiology, prognosis and secondary
prevention strategies of ICH.
Methods: We performed a selected review from the literature including recent original articles and meta-analyses.
Results: ICH has an overall incidence of 24.6 per 100.000 patient years, which is considerably higher in Asian
populations. Despite some progress in acute interventions and a great increase in clinical studies over the last
decade, mortality of ICH remains high. In addition, survivors remain at increased risk of recurrent hemorrhagic as
well as ischemic stroke.
Conclusion: Knowledge on risk factors and prevention strategies can greatly decrease the incidence of ICH and
improve prognosis of ICH survivors.