J Korean Neurosurg Soc.  1992 Jan;21(1):72-80.

Comparative Analysis of Management of Intracerebral Hematoma

• Jeun SS
• Lee GS
• Cho KK
• Chi C
• Rha HK
• Song JU
• Choi CR

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.

Keyword

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

MeSH Terms

Brain
Brain Stem
Cerebellum
Coma
Female
Hematoma*
Hemorrhage
Humans
Hypertension
Mortality
Prognosis
Putamen
Retrospective Studies