Türk Nöroşirürji Dergisi 2012 , Vol 22 , Num 3
Evaluation of 104 Cases Spontaneous Intracerebral Hematoma
Ahmet EROĞLU, Cem ATABEY, Ali Kıvanç TOPUZ, Ahmet ÇOLAK, Mehmet Nusret DEMİRCAN
GATA Haydarpaşa Eğitim Hastanesi, Beyin Cerrahisi Kliniği, İstanbul, Türkiye AIM: The objective of this study is to present the main factors which affect prognosis in patients of intracerebral hematoma.

MATERIAL and METHODS: 104 patients, who were hospitalized in GATA Haydarpaşa Training Hospital Neurosurgery Service with “intracerebral hemorrhage” diagnosis between the years 2002-2011, and who had no medical history of trauma. The patients' information categorized as age, gender, risk factors, arterial blood pressure, place and size of the hematoma, commencement of the bleeding, neurological table and the state of consciousness at the time of hospital application, age distribution of bleedings and the factors affecting prognosis and mortality have been examined. Localization of the bleeding and the state of opening to the ventricles have been evaluated.

RESULTS : Of the patients who joined the study, medical treatment was applied to 56,7% (n: 59) and surgical treatment was applied to 43,2% (n: 45).

CONCLUSION: It has been determined that patient age, hematoma mass, the state of consciousness at the time of first evaluation, localization of the hematoma and the opening of hematoma to the ventricles are effective on prognosis. Blood pressure control in intensive care unit, monitoring of intracranial pressure, ventilator support, antiedema with temperature control enables less sequellae remnants on patients. Anahtar Kelimeler : Computed tomography, Surgical treatment, Hematoma