Currently, neuroprotective strategies mainly aim to decrease bleeding from cerebral arteries and protect the insulted neurons in the hemorrhagic stroke. However, the role of cerebral venous system in the pathophysiology of hemorrhagic stroke remains unclear. In this chapter, we summarize the relationship between cerebral venous system and hemorrhagic stroke, and aim to improve the diagnosis and management of hemorrhagic stroke by using multidisciplinary treatment approach. With several cases, including venous cavernoma, developmental venous anomalies, etc., presented in this chapter, the management of hemorrhagic stroke should be expanded from the cerebral arterial system to the balance between the cerebral arterial system and the cerebral venous system. Our aim is to establish an integrative concept in the clinical management of hemorrhagic stroke.

Keywords: Cerebral venous system Hemorrhagic stroke Intracerebral hemorrhage Venous cavernoma Developmental venous anomalies

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