Hypertensive Putaminal Hemorrhage: Surgical Versus Conservative Treatment

Ahn, Yeong Hwan; Park, Kwan; Kim, Young Baeg; Min, Byung Kook; Hwang, Sung Nam; Suk, Jong Sik; Choi, Duck Young

Abstract

151 patients, with hypertensive putaminal hemorrhage, which confirmed by brain CT, were analyzed on the basis of Glasgow coma scale and Glasgow outcome scale. The results of the treatment of hypertensive putaminal hemorrhage and the assessment of the prognostic factors were as follows ; 1) The sex ratio was similar and the incidence was highest in the 5th decade for female and the 6th decade for male ; 75 percents of all cases were in the 5th and 6th decades. 2) A history of hypertension was a poor prognostic factor but a history of cerebrovascular disease was not a specific factor affecting the prognosis. 3) In the patients with low blood pressure, high G.C.S, and small amount of hematoma, were better the prognosis than in the patients with high blood pressure, low G.C.S, and large amount of hematoma. The prognosis was poor in old aged and in the patients with signs of herniation. 4) In the patients with G.C.S between 7-9, cerebral herniation signs, and the amount of hematoma between 40-80cc, the prognosis was better in operative treatment than conservative treatment. 5) The surgical modalities were not related to the prognosis.