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

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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.