Multifactorial analysis of postoperative rebleeding in patients with spontaneous supratentorial intracerebral hemorrhage： a single-center experience

Abstract

Spontaneous supratentorial intracerebral hemorrhage (SSICH) is an acute cerebrovascular disorder with high morbidity and mortality rates, Treatment of primary cerebral hemorrhage is controversial. However, postoperative rebleeding (or hematoma expansion) is a potential complication that can result in devastating progressive neurologic deterioration and high morbidity and mortality rates. It is also an inevitable and serious complication, which can result in progressive neurologic deterioration and death. The incidence of rebleeding 19.39% was found in our study and the results suggest that admission GCS score, irregular hematoma morphology on preoperative CT, poor postoperative blood pressure control, hematoma location, and surgical method were all risk factors of postoperative rebleeding. 3D Slicer-assisted neuroendoscopic surgery may be the most effective treatment for many patients with SSICH.