Purpose: The aim of this study was to evaluate the outcome of
surgical management of spontaneous intra-cerebral hematoma, and
express the predicting factors favoring good or bad outcome.
Patients and Methods: The present research was brought in Benha
university hospitals on 40 patients having to deal with spontaneous
intracerebral hemorrhage with clinical diagnosis of hypertension
where we operated upon. The end result of surgery and determinants
of the outcome were noted regarding 2 divided groups (survived and
died). Results: The mean age ±SD was 56.89±7.93 and 57.64±9.73
years in survived and died groups respectively. Preoperative
Glasgow coma scale (GCS) of 13-15 in survived cases was 80%
while all cases were died (100%) in died group of GCS 5-8 which
was statistically significant. The most common site was basal
ganglia (55%). The volume of hematoma and preoperative GCS had
a significant prognostic predictor of surgical outcome that detected
by Receiving Operator Characteristic (ROC) curve with cutoff point
of 56.0 cm3 and 9 respectively. Conclusion: The sizable
hypertensive ICH is a surgically treatable condition. The predicting factors of mortality
outcome are preoperative GCS ≤9 and hematoma volume ≥56.0 cm3 with no value of age,
sex or site of hematoma. |
