Surgical Treatment of Spontaneous Cerebral Hemorrhage
Keywords:
spontaneous cerebral hemorrhage; surgical treatment; atherosclerosis; hypertensive cerebral hemorrhage; timing of surgery; preoperative diagnosis; arteriography; treatment outcome; mortality; vascular diseaseAbstract
The author reports the results of surgical treatment of 250 cases of spontaneous intracerebral hemorrhage. There were 167 males (67%) and 83 females (33%), twice as many males as females. 116 cases (46%) were 50-60 years old, 89 cases were under 50 years old, and 45 cases were over 60 years old. Exceptions were made for aneurysms and hemangiomas diagnosed before surgery. Among the 250 cases, 187 (74.8%) had vascular diseases, of which 54.8% were hypertensive (22.8% with atherosclerosis), and 20% were only atherosclerosis without hypertension. Cerebral arteriography mostly shows the deviation of arteries such as cortex, insula, and bean striae. In many cases, the displacement of blood vessels was very slight, and the drilling and puncture were performed.
