Kirurško zdravljenje spontanih možganskih krvavitev - prikaz zdravljenja 96 bolnikov = Surgical management of spontaneous intracerebral hemorrhage - report of management of 96 patients
Strojnik, Tadej
Background. Spontaneous intracerebral hemorrhages (ICH) represent only 10% of all strokes, but they account for fully half of stroke-related deaths. Hypertension is the most common sible factor ...contributing to spontaneous ICH. Patient management can be either medical or operative. The indications for surgical intervention have not been completely clarified; the surgeon must make a decision according to his/her experience and the guidelines for surgical treatment vs. medical management (i.e. with drugs). Methods. The charts of patients treated for spontaneous ICH at the Department of Neurosurgery in Maribor General Hospital between 1972 and 1998 were reviewed. Data concerning age and gender, results of neurological examination upon admission, radiological data, type of management and the outcome were analysed. Results. Ninety-six patients were included in the study. The most common cause of spontaneous ICH was chronic arterial hypertension. Thirty-two patients were treated conservatively, and the others surgically, usually by craniotomy (52 cases). Twenty-two patients died. Upon discharge, 33 patients recovered and 41 had partial or total disability. Conclusions. There remains significant controversy concerning indications for surgical treatment. A groupof patients treated at our department are presented in the paper, along with recent treatment for patients with spontaneous ICH.
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