Surgical management of spontaneous intracerebral hemorrhage | ||
| The Scientific Journal of Al-Azhar Medical Faculty, Girls | ||
| Volume 3, Issue 1, January 2019, Pages 131-141 PDF (2.7 M) | ||
| DOI: 10.4103/sjamf.sjamf_66_18 | ||
| Authors | ||
| Shehab M. Alkhadrawy; Islam M. Alaghory; Mahmoud M. Selim | ||
| Abstract | ||
| Background Spontaneous, nontraumatic intracerebral hemorrhage (ICH) remains a significant cause of morbidity and mortality throughout the world. Although ICH has traditionally lagged behind ischemic stroke and aneurysmal subarachnoid hemorrhage in terms of evidence from clinical trials to guide management, the past decade has seen a dramatic increase in studies of ICH intervention. Aimof study The aim of the study is to assess the benefits of surgical evacuation of spontaneous ICH and the factors affecting the outcome. Patients and methods The presented study includes 30 patients with spontaneous hypertensive ICH who had surgical evacuation in Al-Azhar University Hospitals and Matarya Teaching Hospital. Results There is a statistically highly significant relationship between GCS on admission (preoperative) and outcome (=0.002, highly significant). GCS preoperative is significantly correlated with GCS postoperative, that is the better the GCS preoperative is, the better the GCS postoperative would be. There is a statistically highly significant relationship between volume of hematoma and outcome (=0.01, highly significant). No statistically significant difference was detected between the outcome of cases with residual hematoma volume (≤20 ml) after surgical evacuation and cases with total hematoma evacuation (=0.81, nonsignificant). No statistically significant difference was detected between the outcome of the diabetic and nondiabetic patients (=0.86, nonsignificant). The best surgical results were obtained in patients who present early, with a hematoma size of 30–60 ml, and in patients with a GCS of above 10. Conclusion Spontaneous ICH is a treatable condition provided that the patients receive appropriate care from trained staff to deal with such cases. The best candidates for ICH evacuation are those with hematoma volume 30–60 ml and GCS more than 10. | ||
| Keywords | ||
| Intracerebral hemorrhage; stroke; surgical evacuation | ||
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