Clinical Course of 160 Operated and 45 Conservatively Treated Patients with Spontaneous Intracerebral Hematoma

Abstract

An analysis of results of surgical treatment in spontaneous intracerebral hematomas (ICH) before the era of computer tomography (CT) shows that the indication for operation should be restricted especially in cases of deep location and hypertensive etiology (KARIMI-NEJAD, HAMEL 1980). Also those ICH of different depth and extent which could not be seen on angiography can be verified by CT. This improvement in diagnostic possibilities may mistakenly lead to surgical treatment even of those ICH which may be expected to show a better outcome under conservative treatment. By comparing the clinical course of 160 operated and 45 conservatively treated cases of ICH with particular consideration of the CT findings, guiding principles either for conservative or surgical treatment should be worked out.