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Comparative Studies | Neuroscience | Volume 13 Issue 11, November 2024 | Pages: 117 - 123 | India
Comparative Study on Decompressive Craniectomy with Clot Evacuation Versus Medical Management in Hypertensive Intracerebral Hemorrhage: An Institutional Cohort Study
Abstract: Introduction: Intracerebral hemorrhage (ICH) is a critical form of stroke, especially prevalent in specific demographics, resulting in significant morbidity and mortality. Decompressive craniectomy with hematoma evacuation is proposed to alleviate intracranial pressure, but its efficacy relative to conservative management remains controversial. Ongoing research investigates minimally invasive interventions, yet clinical guidelines vary, and long - term prognostic data is insufficient. This study aims to evaluate outcomes associated with neurosurgical versus medical management in hypertensive ICH cases. Methods: This retrospective cohort study at Kanyakumari Government Medical College and Hospital analyzed 105 adult patients with hypertensive intracerebral hemorrhage (ICH) from July 2022 to June 2024. Participants were divided into surgical and medical management groups, with outcomes assessed for mortality and functional outcome. Data were analyzed to identify predictive factors for surgery and mortality, considering a significance level of p
Keywords: Intracerebral hemorrhage, Decompressive craniectomy and clot evacuation, Supracentimetric ICH
How to Cite?: Dr. Sheikh Khurshid Alam Ali, Dr. G M Niban, Dr. R R Ramkumar, "Comparative Study on Decompressive Craniectomy with Clot Evacuation Versus Medical Management in Hypertensive Intracerebral Hemorrhage: An Institutional Cohort Study", Volume 13 Issue 11, November 2024, International Journal of Science and Research (IJSR), Pages: 117-123, https://www.ijsr.net/getabstract.php?paperid=SR241031235958, DOI: https://dx.doi.org/10.21275/SR241031235958