Small bone window craniotomy in 62 cases with hypertensive intracerebral hemorrhage

Objective To explore the therapeutic efficacy of small bone window craniotomy in the treatment of hypertensive intracerebral hemorrhage. Methods Hypertension-induced intracerebral hematoma was cleaned up in 62 cases by means of small bone window craniotomy. The indications, operative time and techniques, prognosis were analyzed retrospectively. Results There was no death during the operation. 1~3 days later, the improvement of muscle power happened in 31 cases, conscious recovery in 31 cases; 3~4 days later, CT scan showed the hematoma was recovered almost in 23 cases; 50% in 13, 30% in 26; 56 cases had once a complete conscious recovery, of which 7 developed re-hemorrhage 3~7 days later. According to GOS, 9 cases had a good recovery, 23 ended with mild disabling, 19 with severe disabling, 1 with persistent vegetative state and 10 with death(4 from re-hemorrhage). Conclusion The small bone window craniotomy is an easy, speedy, effective way to deal with hypertensive intracerebral hemorrhage under straight view.