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

Research Article Volume 6 Issue 2

Spontaneous Intracerebral Hematoma Operated in Two Neurosurgical Centers in Madagascar

Rasolonjatovo Emilson Charles1*, Andrianaivo Radotina Tony1, Rakotovao Tsiky Ketsia1, Rakotondraibe Willy Francis3, Ratovondrainy Willy2, Rabarijaona Mamiarisoa4 and Andriamamonjy Clément1

1CHUJRA Antananarivo Madagascar, Africa
2C,ENHOSOA Antananarivo Madagascar, Africa
3CHU PZAGA Mahajanga Madagascar, Africa
4CHU Tambohobe Fianarantsoa Madagascar, Africa

*Corresponding Author: Rasolonjatovo Emilson Charles, CHUJRA Antananarivo Madagascar, Africa.

Received: January 12, 2023; Published: January 30, 2022

Abstract

Primary spontaneous intra-parenchymal haematomas are associated with high morbidity and mortality and are rarely operated on. The aim of this study is to report the characteristics of primary intra-parenchymal haematomas operated in two neurosurgical centres in Madagascar.
This is a retrospective descriptive and analytical transversal study over a period of 5 years. We collected 32 patient files. The average age was 51.6 years. The sex ratio was 1.66. All patients were hypertensive. The Glasgow score was between 8 and 14 in 56.3%. Motor deficit was identified in 84.4%. Brain MRI was performed in 6.2% and no arteriography was performed. The haematoma was sustentorial in 84.4% and subtentorial in 15.6%. Hydrocephalus was found in 31.2%. The volume of the haematoma was greater than 30 ml in 75%. For cerebellar haematomas, craniectomy with evacuation of the haematoma after a CSF shunt is used. Craniotomy with evacuation of the hematoma for sustentorial hematoma. The mortality rate was 40.6%. The mRS score was 0-2 at 3 months in 29.4%. Preoperative GCS greater than 8 was associated with low mortality (p = 0.001).
There is still no consensus on the surgical indication. The decision for surgery must be considered on a case-by-case basis.

Keywords: Cerebral Haemorrhage; Hypertension; Surgery; X-Ray Computed

References

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Citation

Citation: Rasolonjatovo Emilson Charles., et al. “Spontaneous Intracerebral Hematoma Operated in Two Neurosurgical Centers in Madagascar". Acta Scientific Neurology 6.2 (2023): 31-36.

Copyright

Copyright: © 2023 Rasolonjatovo Emilson Charles., 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.




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