Comparative Analysis of Management of Intracerebral Hematoma.

Jeun, Sin Soo; Lee, Gil Song; Cho, Kyoung Keun; Chi, Chul; Rha, Heoung Kyin; Song, Jin Un; Choi, Chang Rak

Original Article

Journal of Korean Neurosurgical Society 1992;21(1): 72-80.

Sin Soo Jeun, Gil Song Lee, Kyoung Keun Cho, Chul Chi, Heoung Kyin Rha, Jin Un Song, Chang Rak Choi

Department of Neurosurgery, Catholic University Medical College, Seoul, Korea.

ABSTRACT

Retrospective analysis of 46 patients with intracerebral hematoma showed that the attack was most frequent in sixth decade and more prevalent in female. The most common cause of the attack was hypertension(80%) and the site of hemorrhage was putamen 32%, thalamic area 15%, subcortical area 7%, cerebellum 17%, ventricle 3%, and brain stem 4%. Mortality of total cases was 36% and there was no difference of mortality in both conservatively or operatively treated group(38% in conservative group, and 35% in operative group). The prognosis of the patient was unfavorable in the group of poor pretreatment Glasgow coma scale(GCS) and those of cases demonstrated more than 30cc of hematoma on computerized tomography(CT) of the brain. The improvement of GCS after management was better in operative group than in the conservative group.

Key Words: Intracerebral hematoma; Hypertension; Glasgow coma scale(GCS); Computerized tomography(CT)