International Journal of Medical and All Body Health Research  |  e-ISSN: 2582-8940  |  Double-Blind Peer Review  |  Open Access  |  CC BY-NC-SA 4.0

Current Issues
     2026:7/4

International Journal of Medical and All Body Health Research

e-ISSN: 2582-8940 | Open Access

Hypertensive supratentorial intracerebral hemorrhage: Surgery or conservative management?

Article Information

Volume / Issue1 / 3 (July-September 2020)
Pages01-04
AccessOpen Access

Publication Timeline

  • Received25 June 2020
  • Accepted13 July 2020

Full Text (PDF)

Open Access - Free to Download

Download Full Article (PDF) JATS XML

Abstract

Background: Spontaneous intra cerebral hemorrhage is defined as bleeding in brain parenchyma which is lethal at times. Various factor affect the outcome of patient with intra cerebral hemorrhage. rnObjective: Aim of this study is to study the clinical outcome of hypertensive supratentorial intra cerebral hemorrhage and influence of medical and surgical management and to compare the results with literature and assess the volume and location of the hemorrhagic lesion and to correlate with clinical picture and prognosis.rnMethod and materials: The present study conducted at VS hospital, SVP Hospital and NHL Municipal Medical College during the period from December 2018 to December 2020. 100 patients with intra cerebral hemorrhage diagnosed by clinical examination and CT scan and included.rnResult: The maximum incidence of patients was found in age group between 40 and 70 years, with Male preponderance. 50% were treated with medical management while 50% were treated with surgical management. Morbidity and mortality were higher in patients with low values of GCS and large volume of hemorrhage.rnConclusion: Patients with higher GCS and low volume of hemorrhage at time of presentation are benefited by medical treatment while patients with low GCS and larger hemorrhage with signs of raised ICT are benefited by surgical management.

References

  1. Howard Kaufman. Spontaneous Intraparenchymal Hemorrhages. In Wilkins, Setti Rengachary, Editors. Neurosurgery, 2 nd edition. Newyork: McGraw Hill, 1996, 2567-85. [Google Scholar][Crossref]
  2. AN Jha. Spontaneous intracerebral haemorrhage. In B.Rammurthi, PN Tondon, Editors. Text Book of Neurosurgery, 3 rd Edition. Newdelhi: Churchill Livingstone, 2012, 1140-45. [Google Scholar][Crossref]
  3. Adams R, Victor M, Ropper A. Cerebrovascular diseases. In: Wonsiezicz MJ and Narozov M, Editors. Principles of Neurology, 6th Edition, New York: McGraw-Hill, 1997, 834-40. [Google Scholar][Crossref]
  4. King WA, Jacob L. Computerized Axial transverse tomography in C.V.A. Neurology. 1976; 26:924-30. [Google Scholar][Crossref]
  5. Matsumoto Handa. CT guided sterotaxic evacuation of hypertensive ICH. Jr Neurosurgery 1984; 61:440-48. [Google Scholar][Crossref]
  6. Jellinger K. Morphology and Aetiology. In Pia H.W, Langmaid C, Zierski Jan. Editors. Spontaneous Intracerebral Hematoma Advances in diagnosis and therapy, Springer-Verlag Berlin Heidelberg, 1980, 13-20. [Google Scholar][Crossref]
  7. Piotrowski Prognosis, Discussion. In Pia HW, Langmaid C, Zierski Jan. Editors. Spontaneous Intracerebral Hematoma Advances in diagnosis and therapy, Springer-Verlag Berlin Heidelberg, 1980, 251-57. [Google Scholar][Crossref]
  8. R Lorenz, Giessen: Epidemoiogy. In Pia HW, Langmaid C, Zierski Jan. Editors. Spontaneous Intracerebral Hematoma Advances in diagnosis and therapy, Springer-Verlag Berlin Heidelberg, 1980, 91-105. [Google Scholar][Crossref]
  9. Anderson CS, Chakera TM, Stewart-Wynne EG, Jamrozik KD. Spectrum of primary intra cerebral haemorrhage in Perth, Western Australia, 1989-90: incidence and outcome. J Neurol Neurosurg Psychiatry. 1994; 57(8):936-40. doi: 10.1136/jnnp.57.8.936. PMID: 8057117; PMCID: PMC1073077. [Google Scholar][Crossref]
  10. Gambhir Gupta Sing Shukla. Prognostic parameters of CT scan in Spontaneous Intra cerebral Hematoma. Neurol India. 1993; 41:151-55. [Google Scholar][Crossref]
  11. RD Nagpal. ICH and their etiology in India. In Pia H.W, Langmaid C, Zierski Jan. Editors. Spontaneous Intracerebral Hematoma Advances in diagnosis and therapy, Springer-Verlag Berlin Heidelberg, 1980, 100-03. [Google Scholar][Crossref]
  12. Seppo Juvela, Olli Heiskanen, Anti Poranen. The treatment of SICH. Jr Neurosurgery. 1989; 70:755-58. [Google Scholar][Crossref]
  13. Imielinski BL, Kloc W. Spontaneous Intracerebral Hematomas: Clinical Appraisal of Surgical and Conservative Treatment. In: Lorenz R., Klinger M., Brock M. (eds) Intracerebr al Hemorrhage Hydrocephalus malresorptivus Peripheral Nerves. Advances in Neurosurgery, 1993, 21. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77997-8_2 [Google Scholar][Crossref]
  14. Sanchetee PC, Dhamija RM, Roy AK, Venkataraman S. Peripartum cerebral venous thrombosis. J Assoc Physicians India. 1992; 40(10):664-6. PMID: 1344642. [Google Scholar][Crossref]
  15. Kazui Seiji, Hiroaki Naritomi, Haruko Yamamoto: Enlargement of spontaneous intracerebral hemorrhage; incident and time course: Stroke. 1996; 27(10):1783- 87. [Google Scholar][Crossref]
  16. F John Gillingham. Conservative and surgical management of Spontaneous Intracerebral Hematoma. In Pia H.W, Langmaid C, Zierski Jan. Editors. Spontaneous Intracerebral Hematoma Advances in diagnosis and therapy, Springer-Verlag Berlin Heidelberg, 1980, 391-92. [Google Scholar][Crossref]
  17. Lewis B, Morgenstern J, Claude Hemphill III, Craig Anderson, Kyra Becker, Joseph P, et al. Guidelines for the management of spontaneous intra cerebral hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2010; 41(9):2108-29. doi:10.1161/STR.0b013e3181ec611b [Google Scholar][Crossref]
  18. Caplan LR. A History of Stroke: Its Recognition and Treatment. JAMA. 1990; 263(7):1017. doi:10.1001/jama.1990.03440070105046 [Google Scholar][Crossref]

How to Cite

Himanshu, R., & Shah, K. (2020). Hypertensive supratentorial intracerebral hemorrhage: Surgery or conservative management?. International Journal of Medical and All Body Health Research, 1(3), 01-04.

Himanshu, Raval, and Kalpesh Shah. "Hypertensive supratentorial intracerebral hemorrhage: Surgery or conservative management?." International Journal of Medical and All Body Health Research, vol. 1, no. 3, 2020, pp. 01-04.

Himanshu, R. and Shah, K. (2020) 'Hypertensive supratentorial intracerebral hemorrhage: Surgery or conservative management?', International Journal of Medical and All Body Health Research, 1(3), pp. 01-04.

Himanshu R, Shah K. Hypertensive supratentorial intracerebral hemorrhage: Surgery or conservative management?. International Journal of Medical and All Body Health Research. 2020;1(3):01-04.

Share

Find this Article on

Google Scholar Semantic Scholar OpenAlex ResearchGate BASE

A newly published article may take a few days to appear on these services.