I have a patient with a spontaneous ICH but there is also evidence of a small amount of subarachnoid blood. Can they still be randomised to STICH II?
A. Before you can make this decision you need to check that the subarachnoid blood is not indicating and underlying aneurysm or arteriovenous malformation (AVM) by performing an angiogram (CTA, MRA or IADSA) and seeking advice from your neuro radiologist. If there is an aneurysm or AVM then the patient should not be randomised to STICH II. If there is no obvious cause for the subarachnoid blood (apart from the spontaneous ICH) then the patient can be randomised.
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