Abstract
A series of 151 patients with hypertensive intracerebral hemorrhage have been treated in our service from January 1981 to December 1982. There were 81 cases of putaminal hemorrhage, 35 of thalamic, 14 of pontine, 11 of subcortical, 5 of cerebellar and 5 of intraventricular hemorrhage.
Mild type or localized hematoma was treated conservatively. Flunating type also was not treated surgically. Seventy cases of moderate and severe type of hematoma except pontine hemorrhage were operated on. Fifty three operative and 52 conservative cases survived, and 62 out of 105 cases (59%) had the useful llife (ADL I°, II°). Even a serious case with large hematoma had the possibility of better stage of ADL by per-acute stage operation followed, by rehabilitation. Seventeen cases died postoperatively. Main causes of death were progression of central and uncal herniation just before operation, reaccumulation of homatoma, destruction of hypothalamus and midbrain by hemorrhage, and other systemic complications such as gastrointestinal bleeding.
