While there have been substantial improvements in the management of patient
s with cerebral infarction and there are likely to be further improvements
over the next decade, the same may not be true for cerebral haemorrhage. Di
agnostic facilities and neurosurgical techniques have improved but not all
patients are benefiting from these, The current literature is reviewed, Fur
ther controlled trials of the utility of modern neurosurgical techniques ar
e urgently required as at present no therapeutic intervention holds out hop
e for these patients other than optimum medical management. The main focus
must be on prevention. Copyright (C) 2001 S.Karger AG, Basel.