The Functional Outcome of Spontaneous Hypertensive Supratentorial Intracerebral Haemorrhage after Surgery

This study was to determine various factors that affect the postoperative prognosis regarding outcome and the functional recovery after surgical evacuation of spontaneous hypertensive supratentorial intracerebral haemorrhage. This cross-sectional analytic study was done in the Department of Neurosurgery, Shaheed Suhrawardy Medical College Hospital, Dhaka, Bangladesh during a period of 4 years from January 2016 to December 2019 and total 96 patients were selectedfor this research. Patients with post-head injury hematomas, intracranial space-occupying lesions with bleedings, ischemic strokes with haemorrhagic transformation, arteriovenous malformations, aneurysms, and infratentorial haemorrhages were excluded from the research . The most frequently performed surgical procedure was decompressive craniotomy and evacuation of hematoma . The outcome of the patients was classified according to the Glasgow Outcome Scale(GOS). If the GOS score was more than 3 it was termed as “favorable”. GOS score 3 or less was classified as “unfavorable”.. The mean age of the patients was 57.99±12.74 years with male and female ratio was 1.66. The mean blood volume was 28±19.99 cc and all patients were hypertensive. In relation to age and volume of blood, a significant difference (p <0.001) in outcome was found. Age > 70 years, GCS < 8 on admission, hematoma above 40 cc, and intraventricular extension were the most reliablepredictors of mortality and poor outcome following surgical evacuation of spontaneous supratentorial intracerebral hematoma.The current research could exclusively assess the mortality and the functional outcome. Further related studies are needed with a focus to measures improving the quality of life to decrease the adverse outcome in postoperative survivors.