Prognostic Factors and Surgical Indications in Spontaneous Lobar and Putaminal Hematomas
Since McKissock et al. published their historical study in 1961  which showed no benefit from surgical treatment, the role of surgery in the treatment of spontaneous intracerebral hematomas has remained a matter of debate. After the introduction of computed tomography (CT) still no generally recognized criteria for a surgical indication are available despite several recent studies [1,4, 5, 7, 10]. Facing the ethical problems of a prospective randomized trial the following questions were investigated by a retrospective clinical study: What is the impact of clinical and radiological factors on patients outcome? Are there subgroups defined by these prognostic parameters which are significantly different after conservative or surgical treatment?
KeywordsIntracerebral Hemorrhage Prospective Randomized Trial Surgical Indication Comatose Patient Hematoma Volume
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