Challenges and Outcome after Surgery of Spontaneous Supratentorial Haematoma | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 69, Volume 97, Issue 1, October 2024, Page 3886-3890 PDF (262.13 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2024.390064 | ||||
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| Abstract | ||||
| Background:Spontaneous intra-cerebral haemorrhages (ICHs) account for 9-27% of all cerebrovascular strokes worldwide. Objective: The objective of this study was to assess the survival rates and functional outcomes following the surgical evacuation of spontaneous supratentorial ICH, as well as the factors that influence the outcome. Patients and methods:This was a retrospective study for 50 cases of operated spontaneous ICHin our department for the last year admitted to Neurosurgery Department in Menoufia University Hospital complaining of spontaneous ICH. Cases were operated upon within a period of 24 h of presentation. Open craniotomy techniques were employed to evacuate hematomas from all patients. Results: The meanModified Rankin Scale (mRS) after surgery and before leaving the hospital was 3.72 ± 0.91 ranged between 1 to 5 while after 6 months the mean improved to 3.2 after 6 months with a statistically significant difference (p = 0.0013). A statistically substantial associations was observed among mRS after surgery and initial Glasgow Coma Scale (GCS) and also postoperative GCS. There was a statistically significant correlations between mRS after 6 months of surgery and initial GCS and also with postoperative GCS and Coagulopathy. Conclusions: Spontaneous supratentorial ICH evacuation and craniotomy in patients with good premorbid status and moderate to good GCS even with big sized hematoma regardless of the extent or location of the ICH, a favorable clinical outcome can be achieved through the combination of neurocritical care and surgery. Patients achieve a functional outcome that is suitable for the long term. | ||||
| Keywords | ||||
| Outcomes; Surgical Intervention; Spontaneous; Supratentorial intracerebral hemorrhage | ||||
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