Hemicraniectomy for Supratentorial Primary Intracerebral Hemorrhage: A Retrospective, Propensity Score Matched Study

Background and Purpose: Spontaneous supratentorial intracerebral hemorrhage (ICH) contributes disproportionately to stroke mortality, and randomized trials of surgical treatments for ICH have not shown benefit. Decompressive hemicraniectomy (DHC) improves functional outcome in patients with malignant middle cerebral artery ischemic stroke, but data in ICH patients is limited. We hypothesized that DHC would reduce in-hospital mortality and poor functional status (defined as modified Rankin scale ≥5) among survivors at 3 months, without increased complications.

Source: Journal of Stroke and Cerebrovascular Diseases - September 8, 2019 Category: Neurology Authors: Kasey L. Gildersleeve, Mohammad I. Hirzallah, Yoshua Esquenazi, Charles J. Moomaw, Padmini Sekar, Chunyan Cai, Nitin Tandon, Daniel Woo, Nicole R. Gonzales Source Type: research