Open AccessOutcome of decompressive craniectomy and hematoma evacuation treatment for spontaneous supratentorial intracerebral hemorrhage
Author(s) -
Nguyễn Văn Tuyên,
Ta Duc Thao,
Ta Duc Thao,
Nguyen Trong Yen,
Nguyen Hai Linh
Publication year - 2021
Publication title -
y dược lâm sàng 108
Language(s) - English
Resource type - Journals
eISSN - 1859-2880
pISSN - 1859-2872
DOI - 10.52389/ydls.v16ita.1087
Subject(s) - decompressive craniectomy , medicine , intracerebral hemorrhage , hematoma , surgery , intracranial pressure , mortality rate , glasgow outcome scale , glasgow coma scale , cerebral edema , midline shift , internal capsule , spontaneous intracerebral hemorrhage , intracerebral hematoma , survival rate , anesthesia , traumatic brain injury , radiology , magnetic resonance imaging , psychiatry , white matter
Background: Patients with spontaneous supratentorial intracerebral hemorrhage who had large hematomas, seriously edema and high intracerebral pressure showing a poor prognosis, with mortality rate is very high. Surgical decompressive craniectomy evacuation hematoma treatment (DCEH) effectively reduce high intracranial pressure. However, some studies show that have no overall benefit of functional outcome and mortality. Objective: To assess some prognostic factors and outcome of surgical decompressive craniectomy evacuation hematoma treatment (DCEH) for spontaneous supratentorial intracerebral hemorrhage. Subject and method: Observational study in 30 patients with supratentorial intracerebral hemorrhage who were performed DCEH at Stroke Center - 108 Military Central Hospital from 1/2016 to 7/2020. Outcome was evaluated in the 6th months after stroke. Result and conclusion: The mean age in study was 55.8 ± 10.7 years, which age under 60 was 73.3%. The mortality rate after 6 months was 29.4% while the survival rate was 60%. Favourable outcome was shown in mRS range from 0 to 3, accounted for 33.3% compared with 66.7% in the unfavourable outcome group. Main factors which affected to the results were the volume of the hematoma, the midline compression, the damage of internal capsule, the level of blood in ventricles, the Graeb, ICH, and mICH scales.