Cerebral blood flow measurement following extreme blood pressure reduction in an acute intracerebral hemorrhage patient

Acute blood pressure (BP) elevation is very common after ICH nd is associated with poor outcome. There is some evidence that ematoma growth is correlated with higher systolic BP and that arly treatment may prevent further expansion [1]. However, acute P reduction also carries a theoretical risk of induction or exaceration of perihematomal ischemia. There are therefore opposing ationales for acute BP management, which have resulted in conervative treatment guidelines. We describe a case in which we tilized CT perfusion (CTP) to acutely measure cerebral blood flow CBF) in an ICH patient following a precipitous fall in BP.