The author analysed fifty-four cases of spontaneous intracerebral hematoma(ICH) admitted to the department of neurosurgery, Chungnam National University Hospital for a period of the recent two years.
The results were as follows:
1. Spontaneous ICH f...
The author analysed fifty-four cases of spontaneous intracerebral hematoma(ICH) admitted to the department of neurosurgery, Chungnam National University Hospital for a period of the recent two years.
The results were as follows:
1. Spontaneous ICH frequently occurred over the fifth decade, especially in the sixth decade, and in spring and autumn.
2. 85% of cases were due to primaryICH(eg. hypertension).
3. The location of hematoma was basal ganglia, subcortical region, cerebellum, intraventricular region and thalamus in order of frequency.
4. The overall mortality rate was 41%, but the mortality rate was 48% in cases of basal ganglia hematoma and 50% in cases of thalamic and subcortical hematoma.
5. The mortality didn't increase with ventricular rupture, but in cases of basal ganglia hematoma with ventricular rupture, the mortality increased.
6. The prognosis was not affected according to operation time, and the higher was the consious level on admission or the smaller was ICH, the better was the prognosis.