[Surgical treatment of hypertensive intracerebral hemorrhages].
A total of 95 patients operated for hypertensive intracerebral hemorrhages during the first 3 days following the stroke were studied. The average amount of the postoperative lethal outcome was 46% and in the last years--26%. The analysis of the observations demonstrated that in hemorrhages into the cerebral hemispheres (the most frequent hemorrhages) a vital prognosis and evidences for operation are mainly determined by the depth of hematoma position in relation to the internal capsule, a degree of blood hemorrhages into the ventricles, state of brain magistral arteries (carotic, vertebral-basilar) and the brain stem. Cerebral angiography is a very important examination method facilitating the determination of a hemorrhage cause, its localization, expressiveness of dislocation phenomena, as well as the character and degree of changes of the brain magistral arteries (atherosclerotic stenoses, exaggerations, ansae, hypoplasia). The determination of a vital prognosis of a stroke with conservative and surgical treatment with the aid of a computer permits to solve the problem of evidences for an operation more basically.
D000328:Adult; D000367:Age Factors; D000368:Aged; D001157:Arterial Occlusive Diseases / Q000150:complications; D001921:Brain / Q000473:pathology; D002543:Cerebral Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006406:Hematoma / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008297:Male; D008875:Middle Aged; D013997:Time Factors
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