Retrospective analysis of 175 patients, operated for traumatic intracerebral hematoma (ICH) was done. The greatest part of them (164 patients) was operated for supratentorial intracerebral hematoma: 2/3 of patients - soon after admission and 1/3 - after deterioration. Age, hematoma volume and midline shift were similar before surgery in both groups, except state of consciousness, which determined outcome. Patients risky for deterioration with GCS~12; hematoma volume ~20 ml with minimal midline dislocation should be observed more carefully and operated earlier. Mortality depended on age and severity of injury (GCS), outcome of survivors - on hematoma volume and midline shift too.
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