Results of Surgical Treatment in Nontraumatic Deep Intracerebral Hematomas

Kim, Kyung Soo; Kim, Jae Hong; Hamm, In Suk; Park, Yeon Mook; Kim, Seung Lae

Abstract

140 patients of nontraumatic deep intracerebral hematoma, admitted at Kyungpook National University Hospital for 2 years, were evaluated through analysis for their therapeutic results. Two operative methods were adopted ; emergency craniotomy and burr hole aspiration applied each method to the patients occupied 35.7% of whole cases respectively and the remaining 28.6% went without operation. Most of the craniotomy was done within 24 hours after bleeding attack with a result of 82% of complete removal of hematoma. Burr hole aspiration was done within and around one to two weeks for perfect removal. Consciousness after removal of hematoma showed a remarkable improvement while motor weakness improved rather slowly. Therapeutic results of the whole patients at the time of discharge were following ; Good-15%, doing enough for daily life, Fair-56.4%, possible for carrying out daily routine in near future, and total death was 12 patients(8.6% of the whole) ; 7 patients(58.3%) due to direct effect by the hematoma and 5 patients(41.7%) due to infection and renal failure.