Abstract
Our retrospective study included 104 patients (28 female and 76 male) with intracerebral bleeding, treated between 1978 and 1988 in the Neurosurgical Clinic of the Medical University in Hannover. The average age was 43 years. 53 patients presented with traumatic intracerebral bleedings, and 51 with spontaneous hematomas. 31 patients with spontaneous hematomas were operated: among these a good or satisfactory result was obtained in 19 patients, and 12 died. Of the 20 non-operated patients, a good or satisfactory result was achieved in 10. 31 patients were operated in the group with traumatic hematoma, of these 22 had a good or satisfactory outcome and 9 patients died or had an unsatisfactory result. Of the 22 non-operated patients, 13 died and 9 achieved a good or satisfactory result. In the stratified Chit-Test the effects of the operation were not found to be significant, with 0.1 < p < 0.25 for spontaneous, and 0.25 < p < 0.05 for the traumatic hematomas. There is a trend in favor of the operation in certain cases.
Similar content being viewed by others
References
Brambilla GL, Y Rodriguez, G Baen, F Sangiovanni, G Gainoldi, D Locatteli: Spontaneous intracerebral hemorrhage: Medical or surgical treatment. J Neurosurg Sci 27 (1983) 95–101
Kanno T, H Sand, Y Shinomaya, K Katada, J Nagata, M Hoshino, et al: Role of surgery in hypertensive intracerebral hematoma. A comparative study of 304 nonsurgical and 154 surgical cases. J Neurosurgery 61 (1984) 1091–1099
Kretscher H: Konservative oder operative Behandlung spontaner intracerebraler Blutungen. Med Welt 34 (1983) 844–849
Madeu JC, FA Rubino: Management of lobar intracerebral hemorrhage: medical or surgical. Neurology 34 (1984) 381–383
McKissock WA, A Richardson, J Taylor: Primary intracerebral hemorrhage. Lancet 2 (1961) 221–226
Mosdal C, G Jensen, W Sommer, J Lester: Spontaneous intracerebral haematomas. Clinical and computertomographic findings and long-terme outcome after surgical treatment. Acta Neurochirurgica 83 (1986) 92–98
Nath FP, D Nicholls, RJA Fraser: Prognosis in intracerebral hemorrhage. Acta Neurochirurgica 67 (1983) 29–35
Ojeman RG, RC Heros: Spontaneous brain hemorrhage. Stroke 14 (1983) 468–475
Waga S, M Miyazaki, M Okada, H Tochio, S Matsishima, J Tanaka: Hypertensive putaminal hemorrhages: Analysis of 182 patients. Surgical Neurology 26 (1986) 159–166
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Zumkeller, M., Höllerhage, HG., Pröschl, M. et al. The results of surgery for intracerebral hematomas. Neurosurg. Rev. 15, 33–36 (1992). https://doi.org/10.1007/BF02352065
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF02352065