Home

Analysis of post-surgery mortality in hypertensive intracerebral hemorrhage

Written by Radkov I.V., Lantukh A.V., Kostiv E.P., Gulyaeva S.E., Ovchinnikova A.A.

  UDK: 616.831-005.1-089.168.8 | Pages: 73–77 | Full text PDF | Open PDF 

Annotation:

Objective. Study objective is to identify statistically significant risks affecting the outcome of the factors of mortality among hypertensive intracerebral hemorrhage. Methods. Presented the results of the analysis of postoperative mortality of 38 patients aged 38-86 with hypertensive intracerebral hemorrhage. Results. The most likely factor in mortality was the hematoma volume, and subsequently the level of consciousness and the degree of dislocation of brain structures. There was no mortality, depending on age. The distribution limit of the average values of the hematoma volume among the dead and survivors – 70 cc, the level of consciousness is 7 on the Glasgow Coma Scale. The volume of the hematoma was not correlated with inhibition of consciousness before surgery. Shown the relationship between the volume of the hematoma and depression of consciousness during the first day after surgery, as well as between consciousness after surgery and outcome of stroke. Conclusions. Overall post-surgery mortality was 87 %; in patients with supratentorial hemorrhages in a coma – 91.3 %, with a hematoma volume of more than 60 cc – 88.9 %, more than 70 cc – 91.6 %. With the volume of subcortical hematoma to 60 cc and level of consciousness more than 7 points postoperative mortality does not exceed 33 %.

Links to authors:

I.V. Radkov1, A.V. Lantukh2, E.P. Kostiv2, S.E. Gulyaeva2, A.A. Ovchinnikova2
1 Vladivostok Clinical Hospital No. 2 (57 Russkaya St. Vladivostok 690105 Russian Federation),
2 Pacific State Medical University (2 Ostryakova Ave. Vladivostok 690950 Russian Federation)


1. Top 10 causes of death worldwide: WHO newsletter. 2014. No. 310. URL: http://www.who.int/mediacentre/factsheets/fs310/ ru (date of access: 03.08.2016.).
2. Akhmadiev R.N., Banashkevich V.E., Totorkulov R.I., Ryabusheva V.V. Experience with puncture aspiration removal of nontraumatic intracerebral hematomas in conjunction with local fibrinolysis // Pacific Medical Journal. 2012. No. 4. P. 90–92.
3. Vukolov E.A. Basics of statistical analysis. М.: Forum, 2008. 464 p.
4. Dzhindzhikhadze R.S., Dreval O.N., Lazarev V.A. Decompressive craniotomy in intracranial hypertension. М.: GEOTAR-Media, 2014. 112 p.
5. Krivelevich E.B., Gulyaeva S.E., Lutchenko E.N., Nidzelskiy P.N. Cerebrovascular pathology in the Primorye Territory: the incidence and treatment of problems // Pacific Medical Journal. 2013. No. 3. P. 61–64.
6. Krylov V.V., Dashyan V.G., Burov S.A., Petrikov S.S. Surgery of the hemorrhagic stroke. М.: Meditsina, 2012. 336 p.
7. Krylov V.V., Talypov A.E., Puras Yu.V. Intracranial pressure in brain lesions // The Russian Journal of Neurosurgery. 2007. No. 4. P. 12–19.
8. Svistov D.V., Manukovskiy V.A., Volk D.A. Results of surgical treatment of patients with primary intracerebral hemorrhage // The Russian Journal of Neurosurgery. 2010. No. 2. P. 26–33.
9. Simanov Yu.V., Dobrovolskiy G.F. Topographic and anatomic changes of median brain structures and the flow of cerebrospinal fluid system in hypertensive intracerebral hemorrhage // The Russian Journal of Neurosurgery. 2005. No. 4. P. 37–40.
10. Smeyanovich A.F., Tanin A.L., Golovko A.M. Early results of surgical treatment of hypertensive intracerebral hemorrhage // Rossiiskii neirokhirurgicheskii zhurnal. 2014. Vol. IV. P. 122–123.
11. Fayzutdinova A.T. "Lack of volume" in lesions of the posterior cranial pits axial dislocation of the cerebellar tonsils // Practical Medicine. 2014. Vol. 1, No. 4. P. 154–159.
12. Filippov A.I., Scherbinin A.V., Zadorozhnyi A.A. Results of surgical treatment of hypertensive intracerebral hemorrhage in the Saint-Petersburg I.I. Dzhanelidze research institute of emergency medicine // Rossiiskii neirokhirurgicheskii zhurnal. 2014. Vol. IV. P. 128.
13. Mendelow A.D., Gregson B.A., Fernandes H.M. [et al.]. STICH investigators. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trail in Intracerebral Haemorrhage (STICH): a randomised trial // Lancet. 2005. Vol. 365. P. 387–397.
14. Mendelow A.D., Gregson B.A., Rowan E.N. [et al.]. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial // Lancet. 2013. Vol. 382. P. 397–408.

PUBLISHER: "MEDITSYNA DV"

Founded in 1997  |  Editions in a year: 4, Articles in one issue: 30 |  ISSN of print version: 1609-1175  |  Ind.: 18410 (Agency "Rospechat’")  |  Edition: 1000 c.