Surgery for primary intracerebral haemorrhage: is it safe and effective?

Talukder, M M H; Islam, KM Tarikul; Hossain, Md. Akhtar; Jahan, Munira; Mahmood, Ehsan; Hossain, Sk Sader

doi:10.3329/bmrcb.v38i3.14328

Cited by 4 publications

(9 citation statements)

References 12 publications

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“…Talukder et al, [27] as they showed no difference in outcome (p-value 0.667) of ventricular extension between surgical and conservative group, In other hand…”

Section: Discussionmentioning

confidence: 88%

“…The most common presentation of our patients was deterioration of the conscious level which reported in 12 cases out of 20 patients (60%), Pantazis et al, [30] found 42% of their cases presented with deteriorated consciousness. Cuatico et al, [31] and Talukder et al, [27] stated that the significance of level of consciousness the most important single clinical signs determining the prognosis, the same result we had in our study as we had 5 patients with GCS ≤ 8 (25%) all of them (100%) died regardless the type of treatment, which indicated that when the initial GCS is less than "8" mortality is high, similar results were found by different studies [32] [33] [34] The risk for early neurological deterioration and the high rate of poor long-term outcomes underscores the need for aggressive early management Steiner et al, [35].…”

Section: Discussionmentioning

confidence: 99%

“…Inagawa et al, [39] reported that no relation of incidence rate of ICH to the site of ICH, Talukder et al, [27] noticed that location of the hematoma did not influence the outcome. In our study there was no any statistical significant difference between the location of the hematoma and type of treatment to outcome, but frontal and parietal location had relatively better outcome than other locations.…”

Section: Discussionmentioning

confidence: 99%

“…Pantazis et al, [30] reported that It is possible that early mortality is most directly related to severity of hemorrhage where as mortality rate influenced more dramatically by a patients general medical conditions and complications, and they (27) noticed that the most important cause of death was the direct effect of the hemorrhage per se (41 patients, 72%), and late causes of death included pneumonia, pulmonary embolism, and renal failure In our study we demonstrated that the complications were slightly more with surgical group but with no statistical significant difference between both groups (p-value 0.582).…”

Section: Discussionmentioning

confidence: 99%

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Management of Spontaneous Superficial Intracerebral Hematomas

Mahmoud¹,

Abokresha²

2020

OJMN

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Background: Treatment of primary spontaneous superficial intracerebral hemorrhage (SSICH) is still controversial. The aim of this study is to investigate the effectiveness of craniotomy and early hematoma evacuation vs conservative (non operative) management in patients with SSICH. Methods: A prospective study of craniotomy and early hematoma removal vs. medical management was performed in 20 patients with cortical and subcortical (superficial) primary SSICH admitted to Assiut university hospital in one year period (March 2016-March 2017). Surgical or medical treatment was initiated immediately when patients admitted to hospital. We divided the patients into two groups according to type of treatment. Results: Age of the patients ranged from 2 months to 73 years (mean: 45.84 ± 23.28 years) among the 20 patients studied; 13 (65%) were males and 7 (35%) were females. Glasgow coma scale (GCS) at admission was less than 8 in 25%, between 8-12 in 45% and 15 in 30% of the patients. Arterial hypertension was the most common associated medical disease (65%). Eleven of patients (55%) had ventricular extension. GCS at admission was the strongest factor affecting outcomes and determined the type of treatment. All patients with a GCS ≤ 8 (5 cases (25%) were died regardless the type of treatment and there was no significant statistical difference in this group in relation to type of treatment p-value (0.606). We had 6 cases (30%) with a GCS 15; all of them were treated conservatively and all of them survived with significant p-value (0.003). Nine patients (45%) had GCS 8-12; two of them were treated conservatively and died while the remaining seven patients were treated surgically; five of them survived with significant p-value (0.025). No significant statistical difference was found in the outcome between the surgical and the conservative group regarding having associated intracranial hemorrhage. Conclusions: After analyzing the results, we found that when the GCS is "8-12", surgical intervention is recommended and carried a better prognosis than waiting for the conservative treatment. When GCS is higher ">12", conservative treatment can be the fa-How to cite this paper:

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“…Talukder et al, [27] as they showed no difference in outcome (p-value 0.667) of ventricular extension between surgical and conservative group, In other hand…”

Section: Discussionmentioning

confidence: 88%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Management of Spontaneous Superficial Intracerebral Hematomas

Mahmoud¹,

Abokresha²

2020

OJMN

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“…Despite the frequency of ICHs, there is still ongoing debate about the optimal patient care. The treatment strategies include medical, surgical and combined treatment, including emergent reduction of blood pressure and coagulopathy reversal, management of cerebral oedema, as well as surgical interventions [4,10,[12][13][14]. The latter include External Ventricular Drainage (EVD) and hematoma evacuation [1,6].…”

Section: Discussionmentioning

confidence: 99%

Primary Intracerebral Haematoma Evacuation: A Case Report

Velnar

Bunc

2016

BJMMR

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Spontaneous intracerebral hemorrhage is one of the most devastating types of stroke, leading to disability and high mortality rate. Besides blood pressure reduction and intensive medical and surgical treatment, immediate coagulopathy reversal is vital. On the other hand, the haemostatic disturbances may contribute to improve the recovery. We describe the evacuation of intracerebral hemorrhage with the insertion of external ventricular drainage in a patient suffering from deep hypertensive intracerebral haemorrhage and haematocephalus.

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Non-endoscopic minimally invasive evacuation of intracerebral haematoma (ICH): A case report

Velnar

2017

Bosn J of Basic Med Sci

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Spontaneous intracerebral hemorrhage (ICH) is one of the most serious causes of stroke, leading to high rates of disability and mortality. In addition to intensive medical treatment, surgery may help to improve the prognosis in patients with ICH. A rapid reversal of coagulopathy is essential in these patients, although it may be difficult to achieve in various bleeding disorders. In such cases, when surgery is needed, a minimally invasive approach is recommended. In this case report, we described and shortly discussed the evacuation of ICH with a minimally invasive non-endoscopic surgical technique.

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Surgery for primary intracerebral haemorrhage: is it safe and effective?

Abstract: This prospective study was conducted to compare the outcome between medical and surgical treatment of primary intracerebral haemorrhage at the department of Neurosurgery, Dhaka Medical College

Cited by 4 publications

References 12 publications

Management of Spontaneous Superficial Intracerebral Hematomas

Management of Spontaneous Superficial Intracerebral Hematomas

Primary Intracerebral Haematoma Evacuation: A Case Report

Non-endoscopic minimally invasive evacuation of intracerebral haematoma (ICH): A case report

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