[Cerebral intraperenchymatous hematomas: surgical treatment not to start with].
BACKGROUND
The surgical treatment of intraparenchymal hematomas is very controversial. To date, there has been no through analysis of the subject and neurological specialists need a broad study to indicate which patients should have surgical treatment and which is the surgical option which gives the best results with the least damage.


METHODS
In this paper, the author considers which patients should not have any operation, which should always be operated on and in which there is a relative indication for operation. The different techniques available, their advantages and disadvantages are briefly reviewed.


CONCLUSIONS
In view of the results obtained to date, it is likely that in future the usual treatment for intraparenchymatous hematomas will be medical (not surgical) and aimed at the protection of surrounding tissue. When surgery is required, it should be as minimally invasive as possible.
Roda
J M
JM
Servicio de Neurocirugía, Hospital Universitario La Paz, Madrid, España. neurocirugia@hulp.es
D002533:Cerebral Angiography; D006406:Hematoma / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000150:complications / Q000000981:diagnostic imaging; D020521:Stroke / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed