Surgery for Primary Supratentorial Intracerebral Hematoma

Graeme J. Hankey MD, FRCP Section Editor: There is considerable international variation in the rate and indications of surgery for primary supratentorial intracerebral hematoma (PSIH),1,2⇓ reflecting the uncertainty about the effects of surgery. Recently, some large randomized trials have appeared in the literature, but the controversy over its role continues.3,4⇓ This systematic review aims to evaluate randomized evidence to assess the effects of surgery plus routine medical management, compared with routine medical management alone, in patients with PSIH.We searched the Cochrane Stroke Group Trials Register (up to June 2007), monographs, and reference lists of relevant articles and contacted authors of relevant trials. Studies were eligible for inclusion if they were randomized trials of routine medical management plus …