Summary
Report of 251 spontaneous intracerebral haematomas (aneurysms 48, angiomas and microangiomas 89, hypertension 64, miscellaneous aetiology 22, tumours 28) and among them of 125 intraventricular bleedings. The relations are checked and discussed between aetiology, age distribution, localization, forms of ventricular bleeding, development, evolution and severity of symptoms, and the prognosis. As for the indication of operation the result of these findings is to get early diagnosis of lobar haematoma with or without ventricular bleeding, and of general intracranial hypertension by means of Echo-Encephalography, early angiography and CSF. Age, aetiology and time of operation are of less importance.
Close diagnostic and therapeutic cooperation with internists, and neurologists, and modern intensive care are of greatest importance for the early and late outcome.
Out of 144 cases with intracerebral, including intraventricular haematomas subjected to operation 33 died and 111 survived.
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Pia, H.W. The surgical treatment of intracerebral and intraventricular haematomas. Acta neurochir 27, 149–164 (1972). https://doi.org/10.1007/BF01401878
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DOI: https://doi.org/10.1007/BF01401878