Mário Rattaj, Juraj Mišovič, Pavol Moják, Ondrej Šedivý
The aim of our study is to evaluate the results of surgical treatment of spontaneous intracerebral hemorrhage (ICH) in our department. In a period since 2004 to 2008 56 patients were treated surgically. In 50 % of patients hematoma was localized in basal ganglia and thalamus, in 36 % patients it was lobar hemorrhage, and in 14 % of patients it was localized in cerebellum. ICH localized in basal ganglia was treated with stereotactic technique, the rest via craniotomy. In all the patients Intracerebral Haemorrhage Scale (ICHsc) was evaluated. The lower the ICHsc, the higher probability of good clinical outcome. The time period since occurrence of bleeding to surgical intervention seems to be an important factor. Application of external drainage is important in hemocephalus combined with hydrocephalus. Supratentorial hemorrhage has better prognosis than infratentorial localization of hemorrhage. Even if the volume of hematoma is more than 60 cm, there is a chance of survival and good clinical outcome. ICH localized in cerebellum is an indication to urgent evacuation.