RESUMEN
Management of spontaneous intracerebral haematoma (SICH) is divided into two groups - medical and surgical interventions. Although surgical management is controversial, it can be life saving when patient is deteriorating. Surgical techniques varies from large craniotomy, burr hole aspiration, stereotactic & endoscopic evacuation of haematoma. Forty eight patient of SICH were treated surgically using keyhole craniectomy technique, small craniectomy of 2-2.5 cm diameter. Surgical outcome assessed by Glasgow Outcome Score (GOS). Post-operative CT scan was done in all cases. Good recovery was achieved in 2 cases (4%), moderate disability in 20 cases (42%), 5 patients remain in vegetative state. Good evacuation of haematoma was seen in 42 patients except 6 cases deteriorated by post-operative CT scan. Surgical evacuation of SICH through keyhole technique is minimally invasive, safe and can achieve desired result. Patient with a GCS > 9 prior to surgery demonstrate a better outcome with this minimally invasive method.
RESUMEN
Analysis of a series of 600 psychiatric patients randomly selected from those attending a psychiatric clinic reveals that every single group of people shows its quota of psychiatric illness and all the major forms of illness are represented in a mixed society. From the present analysis it appears that Hindu patients are more careful for treatment than other religious groups and female patients were less frequently brought for treatment than their male counterpart. Patients coming from urban areas have many advantages over their rural counterpart in seeking scientific psychiatric treatment. Schizophrenia, affective disorders and anxiety neurosis were the three most common illnesses and these contributed to 77% of the total number of patients.