Surgery for primary intracerebral haemorrhage: is it safe and effective?

Authors

  • MMH Talukder Sadar Upazila, Rajbari
  • KMT Islam Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • M Hossain Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka
  • MU Jahan 3Department of Radiology and Imaging, BSMMU, Dhaka
  • F Mahmood Department of Neurosurgery, Dhaka Medical College, Dhaka
  • SS Hossain Department of Neurosurgery, Dhaka Medical College, Dhaka

DOI:

https://doi.org/10.3329/bmrcb.v38i3.14328

Keywords:

Intracerebral haemorrhage, Surgery,

Abstract

This prospective study was conducted to compare the outcome between medical and surgical treatment of primary intracerebral haemorrhage at the department of Neurosurgery, Dhaka Medical College Hospital from January 2006 to October 2007. All patients with primary intracerebral haematoma with Glasgow Coma Scale (GCS) 5-15 (on admission) and heamatoma volume 30 cc or above admitted at Neurosurgery department managed conservatively or surgically were included in this study. Total 60 patients were selected, of them 30 patients managed conservatively and 30 patients managed surgically. Conservatively managed patients regarded as control group (Group-A) and surgically managed patients regarded as experimental group (Group-B). Patients or attendants refused to operate were included in the conservative group. All the selected patients were evaluated on the basis of detailed history, clinical examination (general and neurological examination) and CT scan findings. Outcome was evaluated in term of Glasgow Outcome Scale (GOS). Best medical treatment was given for conservative group and operations were done for surgical group and followed up after surgery till discharge by observing GCS and GOS at discharge. Number of death were 15 (50%) patients in group- A and 13 (43%) patients in group-B. There was no significant difference in mortality rate between two groups but outcome was relatively better in group-B. According to Glasgow Outcome Scale, dependency in group-A and group-B was 26.6% and 23.4% respectively. So dependency were more in group-A. But there was no significant difference statistically. Seven (23.4%) patients were independent in group-A but 10(43.3%) patients were independent in group-B. However in relative terms of outcome of group-B was better than that of group-A. In our study we found no statistically significant difference in outcome between medical and surgical management of primary intracerebral haemorrhage.

DOI: http://dx.doi.org/10.3329/bmrcb.v38i3.14328

Bangladesh Med Res Counc Bull 2012; 38(3): 74-78 (December)

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Published

2013-03-29

How to Cite

Talukder, M., Islam, K., Hossain, M., Jahan, M., Mahmood, F., & Hossain, S. (2013). Surgery for primary intracerebral haemorrhage: is it safe and effective?. Bangladesh Medical Research Council Bulletin, 38(3), 74–78. https://doi.org/10.3329/bmrcb.v38i3.14328

Issue

Vol. 38 No. 3 (2012)

Section

Research Papers

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