Clinical Neuroscience

[Operated intracerebral haemorrhages]

HARASZTI Erzsébet1, HULLAY József1

MAY 01, 1960

Clinical Neuroscience - 1960;13(05)

[In addition to a brief review of the literature on intracerebral haemorrhages and their surgical management, we described the clinical and surgical management of 12 cases. The clinical picture is characterized by acute onset and bloody or xantochromic cerebrospinal fluid, the development of nodal symptoms and progressive intracranial pressure increase, which may be pathognomic for apoplexy in the case of advanced age and hypertension, otherwise most often for haemorrhage from cerebral haemorrhage, the latter especially when paroxysmal phenomena are present before the acute onset. The cause of bleeding in our cases was, according to the literature, hypertension, angioma, aneurysm, trauma and unknown cause. The surgical solution consisted of aspiration of the haemorrhage or excision of the hemorrhage from the capsule and, where possible, resolution of the occult lesion. Of 12 patients, none were lost after surgery and the outcome was satisfactory in 11 cases. Our conclusion on the question of surgery for non-hypertensive haemorrhages is the same as the general principles, but for hypertensive haemorrhages it avoids any generalised constraint on the choice of time. ]

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  1. Debreceni Orvostudományi Egyetem Ideg-Elmeklinikája

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