[Diagnosis and treatment of chronic expanding intracerebral hematoma].
OBJECTIVE
To explore the diagnosis, therapeutic strategy, and pathogenetic mechanism of chronic expanding intracerebral hematoma (CEICH).


METHODS
The clinical presentation, radiological characteristics, d pathology, and treatment of 22 cases of CEICH, 15 males and 7 females, aged 29. 3, all treated with craniotomy and removal of the wall of the capsule and hematoma, were analyzed retrospectively.


RESULTS
The clinical presentation and radiological characteristics of CEICH were atypical. After surgery, 18 patients recovered quite well, 3 patients suffered from hemiplegia, and 1 patient died from rebleeding. The diagnosis of CEICH of all the cases was confirmed by intraoperative finding and pathological results.


CONCLUSIONS
CEICH can be found in any part of the brain that has 2 major characteristics: its clinical symptoms always develop slowly, and the typical radiological characteristic is intracerebral hematoma-form image. Surgery to evacuate the hematoma and remove the capsule is necessary and can be with good outcome.
Qu
Chun-cheng
CC
Department of Neurosurgery, Second Hospital of Shandong University, Jinan 250033, China.
Yu
Rui
R
Wang
Zhi-gang
ZG
Xu
Shu-jun
SJ
Xu
Guang-ming
GM
Liu
Yu-guang
YG
Zhang
Qing-lin
QL
D000293:Adolescent; D000328:Adult; D002543:Cerebral Hemorrhage / Q000175:diagnosis* / Q000601:surgery*; D002648:Child; D002908:Chronic Disease; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000175:diagnosis / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult