Abstract:

In this study, 320 cases of jntracerebral hematoma are studied on the basis of clinical status, computerized tomography and prognosis. Following results are obtained: 1- The main factors effecting the prognosis were the level of conciousness, presence of major neurologic deficits, diameter of the hematoma, intraventriculer haemorrhage and midline shift. Age of the patient, accompanying systemic diseases, localization of the hematoma and surrounding edema effected the prognosis less significantly. 2- Surgical treatment of lobar hematoma is found to have no superiority, therefore priority should be given to the medical treatment and only intractable cases with evolving neurologic deficits should undergo surgery. 3- Hematomas with deep location should receive medical therapy only. 4- Surgical treatment of cerebellar hematomas greater than 3 cm. in diameter is found to be considerably benefical.

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