Abstract
The treatment of intracerebral hematomas (ICHs) in 14 patiens with chronic renal failure (CRF) was studied over 15 episodes. Thirteen of the cases had neurogical grading from NG1 to NG4b Six cases were teated surgically (surgical group 1) and seven cases conservatively (surgical group 2). Preoperatively, surgical group 1 included more serious cases than surgical group 2 in both consciousness level and hematoma size, but surgical group l exhibited prolonged outcome similar to surgical group 2. The number of patients with NG 1 or 2 was six, NG 3, 4 a or 4 b was seven, and NG 5 was two. Five cases. of NG 1 or 2 were treated conservatively and the frequency of activity of daily living (ADL) of I or II, 6 months after the treatment was 60% (3/5). Five cases of NG 3, 4 a, or 4 b were treated surgically and the frequency of the ADL I or II 6 month after the treatement was 20% (1/5). In two cases of NG 5, hemodialysis was stopped due to disappearance of the brain stem reflex.
These findings suggest that the ICHs with CRF may result in the same outcome and effecfiveuess as with conventional hypertensive ICHs and that surgical treatment may be equally effective.
