Résumé
Surgical decision for the hypertensive intracerebral hemorrhage remains as a difficult problem in neurosurgery. In this review the author discussed such a problem and analyzed 95 consecutive cases of microsurgically treated hypertensive intracerebral hemorrhage in the supratentorial region. The surgical morbidity and mortality were decreased markedly, 18% and 16% each, compare to the previous series. Establishment of the meticulous surgical procedures, surgical planning assisted by the CT scan, monitoring and management of the intracranial pressure, prevention of the cardiopulmonary complication, and conception of the early surgical evacuation for the lobar, cerebellar and superficial gangliobasal hematoma, devoted to improvement of the surgical outcome.
Sujets)
Hémorragie cérébrale , Fécondation , Hématome , Hypertension artérielle , Hémorragie intracrânienne hypertensive , Pression intracrânienne , Mortalité , Neurochirurgie , TomodensitométrieRésumé
Surgical decision for the hypertensive intracerebral hemorrhage remains as a difficult problem in neurosurgery. In this review the author discussed such a problem and analyzed 95 consecutive cases of microsurgically treated hypertensive intracerebral hemorrhage in the supratentorial region. The surgical morbidity and mortality were decreased markedly, 18% and 16% each, compare to the previous series. Establishment of the meticulous surgical procedures, surgical planning assisted by the CT scan, monitoring and management of the intracranial pressure, prevention of the cardiopulmonary complication, and conception of the early surgical evacuation for the lobar, cerebellar and superficial gangliobasal hematoma, devoted to improvement of the surgical outcome.