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. 2013 Sep;15(3):200-5.
doi: 10.7461/jcen.2013.15.3.200. Epub 2013 Sep 30.

Comparative Results of the Patients with Intracerebral and Intra-sylvian Hematoma in Ruptured Middle Cerebral Artery Aneurysms

Jong Gon Lee  1 , Chang-Taek Moon, Young Il Chun, Hong Gee Roh, Jin Woo Choi
Affiliations

Comparative Results of the Patients with Intracerebral and Intra-sylvian Hematoma in Ruptured Middle Cerebral Artery Aneurysms

Jong Gon Lee et al. J Cerebrovasc Endovasc Neurosurg. 2013 Sep.

Abstract

Objective: To clarify the prognosis of the patients with intra-sylvian hematoma (ISH) and intracerebral hematoma (ICH) in ruptured middle cerebral artery (MCA) aneurysms.

Methods: We categorized hematoma into ISH and ICH by the presence of intra-hematomal contrast enhancing vessel (IHCEV) on computed tomography angiography (CTA). Forty-four ruptured MCA aneurysm patients with ICH or ISH were grouped by the grading system proposed by the authors in our previous study. We investigated the relevance of the following factors: patient's age, gender, Hunt-Hess grade, Glasgow outcome scale (GOS) and changes in Glasgow coma scale (GCS) between pre-operation and 7 days after operation.

Results: There were no significant differences statistically in age, gender, Hunt-Hess grade, and GOS between the ISH and ICH groups. In their peri-operative GCS change, the ICH group showed greater improvement compared to the ISH group (p = 0.0391). The hematoma grade had a significant relevance with the patients' GOS.

Conclusion: Although there were no significant statistic differences in the GOS of the 2 hematoma groups, there were prominent improvements of post-operative GCS in the ICH group. Unlike in the ISH group, effective removal of hematoma was possible in most patients of the ICH group. Thus although there is no difference in the prognosis of the 2 groups, early surgical evacuation of hematoma seems to be effective in improving the short-term GCS score in peri-operative period.

Keywords: Cerebral aneurysm; Intracerebral hematoma; Middle cerebral artery.

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References

    1. Abbed KM, Ogilvy CS. Intracerebral hematoma from aneurysm rupture. Neurosurg Focus. 2003 Oct;15(4):E4. - PubMed
    1. Adams HP, Jr, Kassell NF, Torner JC. Usefulness of computed tomography in predicting outcome after aneurismal subarachnoid hemorrhage: A preliminary report of the Cooperative Aneurysm Study. Neurology. 1985;35(9):1263–1267. - PubMed
    1. Bailes JE, Spetzler RF, Hadley MN, Baldwin HZ. Management morbidity and mortality of poor-grade aneurysm patients. J Neurosurg. 1990 Apr;72(4):559–566. - PubMed
    1. Batjer HH, Samson DS. Emergent aneurysm surgery without cerebral angiography for the comatose patient. Neurosurgery. 1991 Feb;28(2):283–287. - PubMed
    1. Kawamura S, Suzuki A, Sayama I, Yasui N. [Clinical significance of intracerebral hematomas following aneurysmal rupture] Neurol Med Chir (Tokyo) 1987 Dec;27(12):1158–1166. Japanese. - PubMed