Abstract
A follow-up study to assess the results of surgery was carried out in 94 patients with supratentorial hypertensive intracerebral hemorrhage. The patients were operated on at the Iwate Medical University Hospital from 1970 to 1974. The operative procedure was craniotomy and total evacuation of the hematoma. Out of 94 patients 22 died within one month after surgery. The ADL of the patients was checked six months and one year after surgery. The type of hematoma, state of consciousness, severity of motor disturbances, grade of our neurological classification before surgery, and timing of operation were reviewed in each patient.
In comparing ADL of the patients 6 months after surgery with that one year after surgery, it was found that there was some possibility of improvement between 6 months and one year after surgery but further improvement could not be expected beyond one year. From the data obtained, the most suitable time to assess the results of surgery was seen to be one year after surgery.
Evaluation of the 72 patients one year after surgery showed that 30 (41.7 %) were well, 18 (25.0 %) were partially disabled, and 8 (11.0 %) were totally disabled.
Our present study leads to the conclusion that the preoperative conditions of the patients which will be well are as follows: under 55 years, somnolence or stupor, lateral type of hematoma, hemiparesis, grade I or II in our neurological classification, and early operation within 24 hours.
