Background: Primary intra-cerebral hemorrhage (ICH) is responsible for 70-80% of cases of ICH and are brought on by either chronic hypertension or amyloid angiopathy. High blood pressure has been reported as a significant risk factor for intracerebral hemorrhage.
Objective: The aim of this study was to evaluate the outcome of surgical management of spontaneous intra-cerebral hematoma, and express the predicting factors favoring good or bad outcome.
Methods: The present research was brought in Benha university hospitals on 40 patients having to deal with spontaneous intracerebral hemorrhage with clinical diagnosis of hypertension where we operated upon. The end result of surgery and determinants of the outcome were noted.
Results: The mean age ±SD was 56.89±7.93 and 57.64±9.73 years in survived and died groups respectively. Preoperative Glasgow coma scale (GCS) of 13-15 in survived cases was 80% while all cases were died (100%) in died group of GCS 4-7 which was statistically significant. The most common site was basal ganglia (55%). The volume of hematoma and preoperative GCS had a significant prognostic predictor of surgical outcome that detected by Receiving Operator Characteristic (ROC) curve with cutoff point of 56.0 cm3 and 9 respectively.
Conclusion: The sizable hypertensive ICH is a surgically treatable condition. The predicting factors of mortality outcome are preoperative GCS ≤9 and hematoma volume ≥56.0 cm3 with no value of age, sex or site of hematoma.
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