J Korean Neurosurg Soc.  1983 Mar;12(1):31-37.

Surgical Management of the Hypertensive Intracerebral Hemorrhage

• Lee KC

Abstract

Surgical decision for the hypertensive intracerebral hemorrhage remains as a difficult problem in neurosurgery. In this review the author discussed such a problem and analyzed 95 consecutive cases of microsurgically treated hypertensive intracerebral hemorrhage in the supratentorial region. The surgical morbidity and mortality were decreased markedly, 18% and 16% each, compare to the previous series. Establishment of the meticulous surgical procedures, surgical planning assisted by the CT scan, monitoring and management of the intracranial pressure, prevention of the cardiopulmonary complication, and conception of the early surgical evacuation for the lobar, cerebellar and superficial gangliobasal hematoma, devoted to improvement of the surgical outcome.

Keyword

Intracerebral hemorrhage; Trans-Sylvian approach; Gangliobasal hematoma; Hypertension

MeSH Terms

Cerebral Hemorrhage
Fertilization
Hematoma
Hypertension
Intracranial Hemorrhage, Hypertensive*
Intracranial Pressure
Mortality
Neurosurgery
Tomography, X-Ray Computed