Surgery for spontaneous intracerebral hemorrhage - A comparative study with medical management in moderate to large sized hematomas

摘要

Objectives: Intracerebral Hemorrhage (ICH) is a devastating form of stroke and accounts for 10-15% of all cases. The management of ICH has predominantly been directed towards medical management. Multiple trials have failed to prove the superiority of surgical evacuation over conservative methods. However, surgery in a carefully selected set of patients is beneficial in reducing mortality and limiting disability. In this article, we retrospectively analysed our ICH register to compare the outcomes of surgical and conservative management of patients < 70 years having a clot volume above 30 ml.