Study of Hypertensive Intracerebral Bleeds and Surgical Outcome
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2015, Vol 3, Issue 3
Abstract
Hypertensive intra cerebral bleeds is the commonest cause of hemorrhagic stroke with high mortality. The decision about the surgical intervention in intra cerebral hematoma remains controversial. Aim of this study was to evaluate the age incidence, clinical presentation, and surgical outcome and mortality due to hypertensive intra cerebral bleeds. This study was conducted Department of Neurosurgery, Osmania General Hospital, Hyderabad from June 2011 to Dec 2014, 38 cases of hypertensive intra cerebral bleeds during the above period in whom the surgical evacuation of hypertensive intra cerebral bleeds were done are included in the study. Age/sex, presenting GCS and the site of hematoma was noted. The outcome of the patients was categorized in terms of mortality and complications. Thirty eight adult patients meeting the inclusion criteria were included in this study, basal ganglia is the commonest site of bleed with male predominate, 5th and 6th decade is commonly affected, patients with GCS less than 6 are having higher mortality. Keywords: Spontaneous intra cerebral hematoma, Glasgow Coma Scale, External Ventricular Drainage (EVD), Glascow Coma Scale (GCS), Arterio Venous Malformations (AVM), Intra cerebral bleed (IC bleed)
Authors and Affiliations
Ramachandra Rama Mohan Naik, K. S. Kiran, M. Premjit Ray, G. Venugopal
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