Spontan İntraserebral Hemorajili Hastalarda Cerrahi ve Medikal Tedavilerin Kıyaslanması

Abstract

Aim: Intracerebral hemorrhage (ICH) is a subtype of stroke whose risk factors are chronic hypertension, amyloid angiopathy, anticoagulants, and malformations. Primary or spontaneous ICH constitutes a significant portion of hemorrhagic strokes. Management of ICH ranges from medical management to open surgery. In this study, surgical and medical treatments applied to the patients were compared with the Glasgow Coma Scale (GCS). Patients and Methods: A total of 32 patients with ICH were included in the study. Diagnosis was made by cranial computed tomography (CT) and magnetic resonance imaging (MRI) in all patients. Medical treatment was applied to 19 patients among the participants. Surgical treatment was applied to 13 patients. GCS points of patients presenting with intracerebral hematoma were recorded and compared at their first admission and after treatment. Results: In this study, a total of eight patients died, four of whom were followed up with medical treatment and four of those who underwent surgical treatment. Participants were examined in terms of pre- and post-treatment GCS scores according to the location of the lesion. As a result of the analysis of the data obtained, it was determined that there was a significant difference between the GCS values of the participants before and after the surgical and medical treatment. The mean GCS values of those who were treated medically were higher than those who were treated surgically. GCS values were very close to each other after treatment and no statistically significant difference was found between the groups. Conclusion: In the light of the findings obtained in the study, it was concluded that surgical treatment was not superior to medical treatment.