Abstract

Background: Haematoma volume is a strong predictor of morbidity and mortality in a spontaneous intracerebral hematoma. Timing of surgery, amount of clot removal, GCS on admission, pupillary abnormality and amount of bone removal of such cases are strong variables. A large amount of blood is causing impending herniation which is life-threatening and should be addressed immediately to reverse the situation. 

Objective: The main goal of this study is to assess the predictive analysis in decompressive craniotomy for haemorrhagic stroke. 

Method: A total of 72 cases were included in this study. This retrospective study was conducted in three private hospitals from 2009 to 2018. Male: Female was 3:2. Surgical outcome predictors were analyzed by using different variables- the timing of surgery, amount of clot removal, GCS on admission, pupillary abnormality, age of the patients and amount of bone removal.

Results: 8 patients died, 2 patients were in a vegetative state, 1 patient developed osteomyelitis in a bone flap and 1 had CSF leak and meningitis. 

Conclusion: Decompressive craniotomy for large intracerebral hematoma is lifesaving. Among the variables- the timing of surgery and the amount of bone removal are strong predictors of the outcome of the surgery.

Keywords: Haematoma; Craniotomy; Decompressive; Intracerebral

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Citation

Citation: Md Moshiur Rahman., et al. “Predictive Analysis in Decompressive Craniotomy for Haemorrhagic Stroke”. Acta Scientific Neurology 3.3 (2020): 12-16.

Copyright

Copyright: © 2020 Md Moshiur Rahman., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.