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KMID : 0359819750040020305
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Journal of Korean Neurosurgical Society
1975 Volume.4 No. 2 p.305 ~ p.321
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Clinical analysis of intracerebral hewatoma
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車喜中/Cha, Hee Joong
崔震成/高鶴鍾/沈輔星/Choi, Un Sung/Ko, Hak Jong/Sim, Bo Sung
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Abstract
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Seventy cases of intracerebral hematomas were analysed, forty-six of spontaneous origin and remainder of traumatic one, which had been experienced in Seoul National University Hospital between March, 1970 and June, 1975.
The results were as follows:
A. Among forty-six cases of spontaneous intracerebral heanatomas, twenty-six cases (52%) were primary intracerebral hematomas,normotensive, or hypertensive, seven aneurysmal ruptures (15%), seven arteriovenous malformations. (15%), two cerebral rete mirabiles, one tumor -bleeding, one leukemia, one idiopathic thrombocytopenic,purpura anti one due to other blood dyscrasia.
1. Among twenty-six cases of primary intracerebral hematomas, an geography cas performed in all and fourteen cases were operated.
The sites of hemorrhage were as follows
a. Putaminal hemorrhage: 17 cases (65%) (two cases associated with intraventricular hematoma)
b. Thalamic hemorrhage: 5 cases (19%) (two cases associated with intraventricular hematoma)
c. Subcortical hemorrhage: 4 cases (1.6%)
2. Overall mortality among twenty-six cases was forty-six per cent; operative mortality was forty-three per cent, and non-operative, fifty per cent.
3. Age, mode of onset, level of consciousness at the time of surgery and the site of hematoma were all important factors for surgical result. Surgical intervention seemed to be most favorable in patients who had verbal communication with subcortical or localized putaminal hematoma.
4. Normotensive group was worse than hypertensive one with conservative treatment, but
the former was more benefitedthan the latter with surgery.
5. Intracerebral hematomas due to aneurysmal rupture, arteriovenous malformation and
others were also influenced with above mentioned factors, but the nature of underlined disease
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