Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 3 Issue 3

Predictive Analysis in Decompressive Craniotomy for Haemorrhagic Stroke

Md Moshiur Rahman1*, K M Ziaur Rahman2 and Imrul Kaies3

1Assistant Professor, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh
2Resident, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh
3Medical Officer, Anaesthesia Department, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka

*Corresponding Author: Md Moshiur Rahman, Assistant Professor, Neurosurgery Department, Holy Family Red Crescent Medical College, Dhaka, Bangladesh.

Received: February 18, 2020; Published: February 28, 2020

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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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References

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  3. Sahuquillo J., et al. “Decompressive craniectomy for the treatment of refractory high intracranial pressure in traumatic brain injury”. Cochrane Database of Systematic Reviews 1 (2006): CD003983.
  4. Schwab S., et al. “Early hemicraniectomy in patients with complete middle cer ebral artery infarction”. Stroke 29 (1998): 1888-1893.
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  8. Rabinstein AA., et al. “Emergency craniotomy in patients worsening due to expanded cerebral hematoma: to what purpose?” Neurology 58 (2002): 1367-1372.
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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.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days
Impact Factor0.844

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