Which factors improve the outcome of surgery treatment of hemorrhagic stroke?

Updated: Apr 22, 2019
  • Author: David S Liebeskind, MD, FAAN, FAHA, FANA; Chief Editor: Andrew K Chang, MD, MS  more...
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Answer

In contrast, a meta-analysis of trials for surgical treatment of spontaneous supratentorial intracerebral hemorrhage found evidence for improved outcome with surgery if any of the following applied [48] :

  • Surgery undertaken within 8 hours of ictus

  • Volume of the hematoma 20-50 mL

  • Glasgow coma score 9-12

  • Patient age 50-69 years

In addition, evidence suggests that a subset of patients with lobar hematoma but no intraventricular hemorrhage may benefit from intervention. [49] A study in this group of patients (STICH II) has been completed, but results are still pending. [50]


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