Cerebral
hemorrhages Lobares.
Surgical results
NOTE: Translated
using software of
translation of
Spanish to English
Abstract:
Stroke is the third cause of death in Cuba and in developed countries and
intracerebral hemorrhage represent between 15-30% of all acute stroke.
An observational descriptive study was conducted in 20 patients who had
lobar spontaneous intracerebral hemorrhages and underwent surgery in our
Service from January to December,2000. The patients were evaluated at
admission by Kanaya system and the results by Glasgow outcome scale (GOS).
arterial hypertension was the commonest risk factor (71.42 %). Computed
axial tomography (95%) and carotid angiography (75%) were the diagnostic
tests performed during the first 24 hours after receiving the patients in
our emergency services. All the patients had lobar hemorrhages between
20-60 cm3. The etiology was unknown in 70% of cases,10% showed
intracranial aneurysms, 10% brain tumours and 10% haematologic
disturbance. Open surgical techniques were used in 80% of patients.
Recombinant streptokinase was used twice during surgery to attain the
total lysis of the clot .
There were 4 deaths(20%) in the reported cases.
Author:
Ecuadorian
magazine of neurology
