01 January 2005
Why, when, and how spontaneous intracerebral hematomas should be operated
Mario N Carvi y NievasMed Sci Monit 2005; 11(1): RA24-31 :: ID: 13888
Abstract
Patients with spontaneous intracerebral hematomas experience higher mortality and suffer more severe defi cits than any other stroke subtype. Although signifi cant intracerebral hematoma (ICH)-related death and severe neurological defi cits arise from hematoma mass effect and intraventricular extension, further clinical deterioration related to rebleeding and/or perihematomal brain edema evelopment often occurs. Many studies have shown that the level of disability and mortality after ICH also depends on the Glasgow Coma Scale (GCS) score, hemorrhage size and patient age.Despite major advances in brain-imaging examination procedures, improvements in neurosurgical critical care, and refi nements in microsurgical techniques, only a few subgroups of patients with spontaneous intracerebral hematomas are usually listed as candidates for surgical treatment in the reported series. One of the most commonly used clinical indications for surgery is neurological deterioration, but this is also a predictor of poor outcome. The recognized trials on the surgical management of intracerebral hematomas make exhaustive analyses of neither the potential advantage of setting patient selection criteria nor the role of early-applied, modern, minimally invasive techniques. In addition, all over the world considerable differences in the treatment of spontaneous intracerebral hematomas make the physicians involved uncertain about the need for surgery. The aim of this paper is to provide clear statements concerning the surgical management of spontaneous intracerebral hematoma patients based on a detailed analysis of the literature and on own experience-based data.
Keywords: Cerebral Hemorrhage - diagnosis, Cerebral Hemorrhage - surgery, Glasgow Coma Scale, Neurosurgical Procedures, Risk Factors, Surgical Procedures, Minimally Invasive, Cerebral Hemorrhage - surgery, Glasgow Coma Scale, Neurosurgical Procedures, Risk Factors, Surgical Procedures, Minimally Invasive
Editorial
01 April 2024 : Editorial
Editorial: Forty Years of Waiting for Prevention and Cure of HIV Infection – Ongoing Challenges and Hopes for Vaccine Development and Overcoming Antiretroviral Drug ResistanceDOI: 10.12659/MSM.944600
Med Sci Monit 2024; 30:e944600
In Press
06 Mar 2024 : Clinical Research
Prevalence and Variation of Medical Comorbidities in Oral Surgery Patients: A Retrospective Study at Jazan ...Med Sci Monit In Press; DOI: 10.12659/MSM.943884
08 Mar 2024 : Clinical Research
Evaluation of Foot Structure in Preschool Children Based on Body MassMed Sci Monit In Press; DOI: 10.12659/MSM.943765
15 Apr 2024 : Laboratory Research
The Role of Copper-Induced M2 Macrophage Polarization in Protecting Cartilage Matrix in OsteoarthritisMed Sci Monit In Press; DOI: 10.12659/MSM.943738
07 Mar 2024 : Clinical Research
Knowledge of and Attitudes Toward Clinical Trials: A Questionnaire-Based Study of 179 Male Third- and Fourt...Med Sci Monit In Press; DOI: 10.12659/MSM.943468
Most Viewed Current Articles
17 Jan 2024 : Review article
Vaccination Guidelines for Pregnant Women: Addressing COVID-19 and the Omicron VariantDOI :10.12659/MSM.942799
Med Sci Monit 2024; 30:e942799
14 Dec 2022 : Clinical Research
Prevalence and Variability of Allergen-Specific Immunoglobulin E in Patients with Elevated Tryptase LevelsDOI :10.12659/MSM.937990
Med Sci Monit 2022; 28:e937990
16 May 2023 : Clinical Research
Electrophysiological Testing for an Auditory Processing Disorder and Reading Performance in 54 School Stude...DOI :10.12659/MSM.940387
Med Sci Monit 2023; 29:e940387
01 Jan 2022 : Editorial
Editorial: Current Status of Oral Antiviral Drug Treatments for SARS-CoV-2 Infection in Non-Hospitalized Pa...DOI :10.12659/MSM.935952
Med Sci Monit 2022; 28:e935952