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Spontaneous intracerebral hemorrhage
Authors:Rolf Kalff  Axel Feldges  H. Maximilian Mehdorn  Wilhelm Grote
Affiliation:(1) Department of Neurosugery, University of Essen, Fed. Rep. of Germany
Abstract:We report on 146 patients with spontaneous intracerebral hemorrhage treated in the period between 1984 and 1988. The aim of this retrospective study was to point out factors for operative respectively conservative treatment.Looking for etiology, age, unconsciousness, localization and extension of hematoma as well as bleeding into the ventricles our results showed that patients over 70 years of age and/or in coma III and IV (Brussels Coma Scale) have a bad prognosis as well as patients with intraventricular bleeding. Patients seem to benefit from operation if hematoma is located in the hemisphere or cerebellar and the extension ranges from 3 to 5 cm.
Keywords:Conservative treatment  hypertensive hematoma  intracerebral hemorrhage  operative treatment  outcome
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