Surgical treatment for hypertensive intracerebral hemorrhage:Experience of 56 cases

Objective:To assess the efficacy of surgical treatment of hypertensive cerebral hemorrhage by individualized protocol.Methods:On individualized basis of bleeding site,hematoma valume,onset time and state of consciousness,56 patients with hypertensive intracerebral hemorrhage required surgical treatment underwent conventional craniotomy,or small bone window craniotomy,or stereotaxic aspiration.Results:Of the 56 patients,45 survived and 11 died.Follow up was between 3 and 6 months,and the findings by Activity of Daily Living Scale(ADL) showed that 9 were in grade Ⅰ,15 in grade Ⅱ,12 in gradeⅢ,5 in grade Ⅳ and 4 in gradeⅤ.Conclusion:For hypertensive patients with cerebral hemorrhage,comprehensive preoperative consideration of the conditions with individualized surgical options can lead to better curative outcomes.