SURGICAL INDICATION AND LIMITATIONS OF BOTH CONSERVATIVE AND SURGICAL TREATMENT FOR HYPERTENSIVE INTRACEREBRAL HEMATOMA

Abstract

In this study we examined the surgical indications for patients with putaminal hemorrhage. We studied the correlations between neurosurgical findings at the time of admission, CT findings within 24 hours after onset and mortality rate in 23 non-surgical cases and 37 surgical cases with putaminal hemorrhage. We found that surgical treatment was unnecessary in cases with alert consciousness to somnolence and/or cases in which the image of hematoma on CT was localized to the outside of the internal capsula or extended only to the anterior limb.