Albert, Ruth and Schulmeyer, Frank Josef and Woertgen, Chris and Brawanski, Alexander (2004) Intracerebral haemorrhage: surgical therapy vs. patient-adapted treatment concept. JOURNAL OF CLINICAL NEUROSCIENCE, 11 (3). pp. 259-262. ISSN 0967-5868, 1532-2653
Full text not available from this repository. (Request a copy)Abstract
In spontaneous intracerebral haemorrhage (SICH), the indication for surgery is still controversial. Therefore we developed clinical guidelines for therapy and compared the outcome of these patients to an exclusively surgically treated group. We retrospectively evaluated outcome in 70 patients with SICH, who were treated only surgically and compared this group with 58 prospectively collected patients, who were treated surgically (n = 13) or medically (n = 45). Initial-level of consciousness, haematoma volume, and ventricular extension of blood were inversly correlated with mortality (p < 0.0001, respectively). Use of clinical guidelines reduced the number of operations without affecting the outcome. We can formulate the following guidelines according to our data: comatose patients with and without brain herniation signs should be treated conservatively. Patients with a haematoma volume between 25 and 85 ml and a clinical deterioration are candidates for surgical therapy. (C) 2003 Published by Elsevier Ltd.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | PROSPECTIVE RANDOMIZED TRIAL; CONSERVATIVE TREATMENT; PUTAMINAL HEMORRHAGE; MANAGEMENT; SURGERY; GUIDELINES; PROGNOSIS; HEMATOMAS; STROKE; CT; haematoma; outcome; therapy; predictors |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Neurochirurgie |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 26 Jul 2021 05:34 |
| Last Modified: | 26 Jul 2021 05:34 |
| URI: | https://pred.uni-regensburg.de/id/eprint/37806 |
Actions (login required)
 |
View Item |
