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Operative results in hypertensive intracerebral hematomas in patients over 60
W P Piotrowski1, E Rochowanski
1Department of Neurosurgery, Landesnervenklinik Salzburg, Austria.
Insights
Surgical intervention for hypertensive intracerebral hemorrhages in patients over 60 can be beneficial for selected cases. This study found a 31.3% mortality rate and 22% good recovery in patients with hemorrhages measuring 30 mm or more.
Area of Science:
- Neurosurgery
- Neurology
- Geriatric Medicine
Background:
- Hypertensive intracerebral hemorrhage is a significant cause of mortality and morbidity, particularly in older adults.
- Surgical management of these hemorrhages remains a topic of debate, with outcomes varying based on patient selection and hematoma characteristics.
Purpose of the Study:
- To evaluate the operative results of surgical treatment for hypertensive intracerebral hemorrhages in patients over 60 years old.
- To identify factors influencing outcomes and determine the efficacy of surgery in selected cases.
Main Methods:
- Retrospective analysis of 300 patients aged over 60 with hypertensive intracerebral hemorrhages treated surgically.
- Inclusion criteria: hemorrhages measuring 30 mm or more on CT scan.
- Outcome assessment using the Glasgow Outcome Score.
Main Results:
- Postoperative mortality rate was 31.3%.
- A good or very good recovery was achieved in 22% of patients.
- The study discusses the importance of selecting intracerebral hematomas by size and location for successful surgical outcomes.
Conclusions:
- Surgical treatment can be beneficial for carefully selected patients with hypertensive intracerebral hemorrhages.
- Optimal patient and hematoma selection are crucial for improving surgical outcomes in this population.
Abstract:
In a retrospective study, we analyzed the operative results of 300 patients over 60 years with hypertensive intracerebral hemorrhages treated from September 1981 to June 1995 at the Department of Neurosurgery, Landesnervenklinik Salzburg. The patients underwent surgery for hypertensive hemorrhages measuring 30 mm or more on CT scan. The postoperative results were assessed by the Glasgow Outcome Score, which showed that the postoperative mortality was 31.3%; 22% of the patients made a good or very good recovery. The mode of selecting the intracerebral hematomas by size and location to achieve good results with surgical treatment is discussed. The authors consider surgery beneficial for selected cases.