Decompressive hemicraniectomy without clot evacuation in supratentorial deep-seated intracerebral hemorrhage

Clinical Neurology and Neurosurgery
S RasrasM Jahangiri

Abstract

Decompressive craniectomy (DC) lowers intracranial pressure and improves outcomes in patients with malignant middle cerebral artery stroke; yet, its usefulness in intracerebral hemorrhage (ICH) is unclear. The authors sought to assess the preliminary utility of decompressive hemicraniectomy (DHC) without clot evacuation in patients with deep-seated supratentorial ICH. Patients with deep seated spontaneous ICH who were admitted to the Golestan Hospital, of Ahvaz, from November 2014 to February 2016, were prospectively enrolled in this study. A prospective clinical trial where 30 patients diagnosed having large hypertensive ICH was randomly allocated to either group A or B using permuted-block randomization. These patients (n = 30), who all had large deep seated supratentorial ICH with surgery indications, were randomly divided to two groups. ultimately, in one group (n = 13), large DHC was performed without clot evacuation, while in the other (n = 17), craniotomy with clot evacuation was done. Data pertaining to the patients' characteristics and treatment outcomes were prospectively collected. There was no statistically significant difference between two treatment groups (P > 0.05). No significant difference was observed between...Continue Reading

Citations

Dec 11, 2019·Neurocritical Care·Daniel F Hanley, Yunke Li
Mar 14, 2019·Frontiers in Neurology·Angélica ClavijoAndrés M Rubiano
Aug 10, 2020·Cardiology in Review·Michael KimChristian Bowers
Sep 26, 2020·Journal of Neurosurgical Sciences·Jonathan RychenDavid Bervini

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