ABSTRACT
Intra-cerebral haemorrhage (ICH) is responsible for strokes in up to 20 % patients in European countries while this became higher up to 30 % in Asian countries. Various different approaches have been applied for the surgery of ICH in the search of ideal surgical technique and prompt management without any success. Therefore, the present study was designed to assess the advantages and risk of open craniotomy surgical technique for the treatment of spontaneous supra tentorial intra-cerebral haemorrhage. Methods: This was a descriptive type of study which was conducted in a tertiary care centre. This study included thirty patients of both gender male (21) and female (9) from 18 to 70 years age. Patients with hypertension, spontaneous supratentorial haemorrhage, having Glasgow Coma Scale (GCS) 8-13 and volume of blood 20 ml or above were included in the study. ICH patients with GCS 14-15 and GCS level less than 7 were excluded from the study. Results: Results of the current study showed that 6 patients with ICH more than 50 ml had GCS less than 8. Whereas, GCS 9-10 and GCS 11-13 were recorded in 17 and 7 patients respectively before the operation. Further, GCS level was unchanged even after surgery in 6 patients who had pre-operative GCS less than 8. After surgery GCS level improved to 9-10 and 11-13 in 9 and 15 patients respectively. Conclusion: Findings of the present study suggest that GCS level and Size of haematoma significantly affects the surgical prognosis in patients with spontaneous supra tentorial intra-cerebral haemorrhage patients. Moreover, results of current study showed that GCS level less than 8 and blood volume of haemorrhage more than 50 ml have been found associated with higher rate of mortality in ICH patients.