Prognostic factors in patients operated for intracerebral hematoma

Aims: Intracerebral hemorrhages (ICH) are usually seen in patients with stroke. In this pathology; ICH volume, location of the hemorrhage and hemorrhage expanding into the ventricular system are the main factors affecting the mortality respectively. Increase in ICH volume often results in neurological deterioration. Our aim is to determine the prognostic factors in patients who underwent surgical treatment for ICH. Methods: We retrospectively evaluated 52 patients operated in our department due to ICH which occurred spontaneously or were caused by the other etiological factors between 2017 and 2019. The parameters were the Glasgow Coma Scale (GCS) score, ICH volume in computed tomography scan, and ventricular expansion of the hemorrhage. Results: The mortality rate in our series was 61.5%. Mortality was significantly increased in patients with hematoma larger than 60 cm3. Nineteen of 24 (46%) patients with GCS scores between 3 and 8 died in the postoperative period. The mean duration of hospital stay was 33 days. 73% of the hematomas were seen in the lobar region. Conclusions: Low GCS score at admission and high ICH volume are prognostic factors for patients who have undergone surgery for ICH.

Kaynakça

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Kaynak Göster

  • ISSN: 1302-0471
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2018
  • Yayıncı: Galenos Yayınevi

3.5b 2.3b

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