Department of Neurosurgery, Mamata Medical College, Khammam, Telangana, India

Department of Neurosurgery, Mamata Medical College, Khammam, Telangana, India

Department of Neurosurgery, Mamata Medical College, Khammam, Telangana, India
Intracerebral hemorrhage ,evacuation of haematoma ,Glasgow Coma Scale Score ,

Decision making for patients with spontaneous intracerebral hemorrhage (ICH) poses several challenges. Outcomes in this patient population are generally poor, prognostication is often uncertain, and treatment strategies offer limited benefits. The present study was aimed to investigate the various surgical interventions in the management of intracerebralhaematomas. This is a prospective descriptive analytical study, which comprised of 30 consecutive patients with CT scan proven ICH, aged > 12 years, admitted to the Mamata General and Super specialty Hospital , over a period of 24 months. In the present study, DC was performed in 10 patients only whereas, 18 patients under went DC along with the evacuation of haematoma (EVH). Patients with ICH who underwent DC with EVH have more preoperative GCS score when compared with other surgical groups. The mortality rate was seen maximum in the DC with EVH surgery group when compared with other groups. The current study concludes that deteriorating patients with SICH might benefit from decompressivecraniectomy without hematoma evacuation.

7 , 8 , 2017