Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Neurosurgery

Primary ICH accounts for 70 - 80% of cases of ICH and are caused by either chronic hypertension, which accounts for over 50% of cases, or amyloid angiopathy. High blood pressure has been reported as a major risk factor for intracerebral hemorrhage. There is a big controversy about the management of such cases, whether medical or surgical. Surgical approaches are numerous. The current study was carried in Cairo university hospitals on 30 cases suffering from spontaneous intracerebral hemorrhage with clinical diagnosis of hypertension where we operated upon and the outcome of these cases and factors affecting the outcome were observed. In our study we have concluded that early evacuation before 24 hours is bettre, the best candidates for ICH evacuation are those with hematoma volume 30-60 cc and GCS more than 7. The emergency department staff and ICU staff need to be specially trained to deal with such cases

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