Do you recommend pre-emptive anti-epileptic treatment for patients with spontaneous ICH?

This question also applies to other scenarios such as ischemic stroke, brain tumors, and TBI. Many neurologists do not, but neurosurgeons often do. The evidence for this is very limited, so a reasonable answer is as follows. 1) Yes, if an EEG shows epileptiform discharges. 2) Evidence or not, modern...

While the recent PEACH trial certainly is thought-provoking, at present there is insufficient evidence to support the use of empiric prophylactic antiseizure medications on all-comers with ICH. The 2022 AHA ICH guidelines still did not endorse this practice, and an upcoming Neurocritical Care Societ...

If there is cortical involvement, yes.

(At least in the first 7 days)