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Management of Intracerebral Hemorrhage: A comparative study of surgical versus conservative treatment

Aftab Ahmed Qureshi, Noor Muhammed Memon, Aijaz Ali Khwaja..

Abstract
OBJECTIVES: To see the outcome of surgical versus conservative treatment in the management of intracerebral haemorrhage. SETTING: This study was carried out at neurosurgical unit in collaboration with medical units of Liaquat University Hospital Jamshoro / Hyderabad from Jan 1996 to Dec 2001. METHODS: Overall 86 cases of intracerebral haematoma were included in this prospective study. The patients were divided in two groups . The first group included 32 cases which were operated, while the second group with 54 cases was managed with conservative treatment. Results were compared in both groups and morbidity or mortality was analysed in both groups. The cases of Aneurysmal bleedings and multiple haemorrhage were excluded. RESULTS: The age of patients ranged between 36-65 years in first group and 52-78 years in second group. Majority of patients had intermediate (5-13) glasgow coma scale (GCS). The site, size of haematoma and causes were sorted out in some cases. Computerized tomography (C.T) Scan was observed as investigation of choice. CONCLUSION: Conservative treatment was found better and had definite edge in management considering mortality of intracerebral haematoma. However, in those cases where surgery was indicated and performed, patients did improve rapidly with less neurological deficit and a useful productive and independent life than those managed on conservative treatment.

Key words: Intracerebral Hemorrhage. Epidemiologic Research Design. Research Design. Biometry. Hematoma. Treatment Outcome. Cerebral Ventricles. Cerebral Hemorrhage, Traumatic. Glasgow Coma Scale.



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