[The spontaneous cerebral hematoma (author's transl)]

Area of Science:

• Neurosurgery
• Neurology
• Radiology

Background:

• Spontaneous cerebral hematoma presents diagnostic and therapeutic challenges.
• Etiology is often unclear, with varied surgical indications and timing in literature.
• Study includes patients with coagulopathy, hypertension, and atherosclerosis.

Purpose of the Study:

• To evaluate surgical outcomes for spontaneous cerebral hematoma.
• To define criteria for surgical intervention.
• To highlight diagnostic methods.

Main Methods:

• Retrospective study of 100 patients from two hospitals.
• Pre-operative and post-operative angiography.
• Histological examination of hematoma wall.
• Diagnosis primarily via computerized tomography.

Main Results:

• Surgical intervention led to recovery in unconscious patients.
• Improvement in neurological paresis was observed post-operation.
• Computerized tomography proved effective for diagnosis.

Conclusions:

• Surgery can be beneficial for spontaneous cerebral hematoma.
• Timely surgical intervention is crucial for positive outcomes.
• Further research into etiology and optimal management is warranted.