Skip to main content

Advertisement

SpringerLink
Log in

Treatment of spontaneous intracerebral haemorrhage. A retrospective analysis of 74 consecutive cases with special reference to computertomographic data

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The surgical treatment of spontaneous intracerebral haemorrhage (SIH) is still a matter of controversy, although most Neurosurgeons agree that surgery is indicated in selected cases. The introduction of computer tomography (CT) permits a more accurate determination of the localization, size and expansion of an intracerebral haemorrhage. The aim of this study is to evaluate the results of surgical and conservative therapy in selected cases and to search for parameters that could help to predict the outcome and facilitate the decision between surgery and conservative therapy.

Seventy-four patients treated following SIH during the years 1976–1980 were analyzed. The decision for surgical treatment was made on the basis of the patient's conditions and the findings in the CT scan. Thirty-nine patients with mainly medium-sized haemorrhages underwent surgery and 35 were conservatively treated. The mortality after three months was 5/39 (13%) in the surgical and 7/35 (20%) in the conservative group. The volume of haemorrhage was significantly larger in the patients who died and 9/10 patients with a haematoma volume above 80 ml died. Five of these 10 were operated and the other 5 not and surgery seemed to be of little benefit to this group. Dilatation of the contralateral ventricle is another indicator of a bad prognosis.

Long-term follow-up investigation was carried out 4–38 months after the initial treatment. Total mortality was 19 out of 68 patients that could be reached for late follow-up. Eleven patients (29%) were fully recovered and 16 had minor neurological deficits. There was no difference in late results between the surgical and the conservative groups, but the patients in the surgical group were generally in a worse condition and had larger haemorrhages that the others. The fact that the total mortality in this material is lower than in other conservatively treated series favours surgery in selected cases of SIH. The use of CT gives valuable information as to the prognosis and especially the volume of haemorrhage seems to be a good prognostic factor.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Cuatico, W., Adib, S., Gaston, P., Spontaneous intracerebral hematomas. A surgical appraisal. J. Neurosurg.22 (1965), 569–575.

    PubMed  Google Scholar 

  2. Frithz, G., Studies on cerebrovascular strokes. Acta universitatis upsaliensis. Med. diss.209 (1974).

  3. Hier, D. B., Davis, K. R., Richardson, E. P., Mohr, J. P., Hypertensive putaminal hemorrhage. Ann. Neurol.1 (1977), 152–159.

    PubMed  Google Scholar 

  4. Kaneko, M., Koba, T., Yokoyama, T., Early surgical treatment for hypertensive intracerebral hemorrhage. J. Neurosurg.46 (1977), 579–583.

    PubMed  Google Scholar 

  5. Luessenhop, A. J., Shevlin, W. A., Ferrero, A. A., McCullough, D. C., Barone, B. M., Surgical management of primary intracerebral hemorrhage. J. Neurosurg.27 (1967), 419–427.

    PubMed  Google Scholar 

  6. McKissock, W., Richardson, A., Taylor, J., Primary intracerebral hemorrhage. A controlled trial of surgical and conservative treatment in 180 unselected cases. Lancet2 (1961), 221–226.

    Google Scholar 

  7. Mizukami, M., Nishijima, M., Kin, H., Computed tomographic findings of good prognosis for hemiplegia in hypertensive putaminal hemorrhage. Stroke12 (1981), 648–652.

    PubMed  Google Scholar 

  8. Paillas, J. E., Alliez, B., Surgical treatment of spontaneous intracerebral hemorrhage. Immediate and long-term results in 250 cases. J. Neurosurg.39 (1973), 145–151.

    PubMed  Google Scholar 

  9. Schurmann, K., Dei Anang, K., Indication and contraindication for surgery of spontaneous intracerebral hemorrhage. Neurosurg. Rev.3 (1980), 17–22.

    PubMed  Google Scholar 

  10. Steiner, L., Bergvall, U., Zwetnow, N., Quantitative estimation of intracerebral and intraventricular hematoma by computer tomography. Acta Radiol. suppl.346 (1976), 143–154.

    Google Scholar 

  11. Tedeschi, G., Bernini, F. P., Cerillo, A., Indications for surgical treatment of intracerebral hemorrhage. J. Neurosurg.43 (1975), 590–595.

    PubMed  Google Scholar 

Download references

Author information

Author notes

  1. H. G. Bolander

    Present address: Departments of Neurosurgery and Neuroradiology, University of Umeå, Sweden

Authors and Affiliations

  1. Departments of Neurosurgery and Neuroradiology, University of Umeå, Sweden

    H. Kourtopoulos, B. Liliequist & S. Wittboldt

Authors
  1. H. G. Bolander
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Kourtopoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. B. Liliequist
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. S. Wittboldt
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bolander, H.G., Kourtopoulos, H., Liliequist, B. et al. Treatment of spontaneous intracerebral haemorrhage. A retrospective analysis of 74 consecutive cases with special reference to computertomographic data. Acta neurochir 67, 19–28 (1983). https://doi.org/10.1007/BF01401664

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01401664

Keywords

Search

Navigation