Background: Spontaneous supratentorial intracerebral hemorrhage refers to a type of cerebral bleeding that occurs within the brain's parenchyma above the tentorium commonly due to hypertension, tumor, drugs or vasculopathy. Management includes medical intervention as warfarin antidote administration or surgical intervention with minimally invasive surgical evacuation as a promising approach.
Objectives: To compare between outcomes of conservative and surgical management of SSICH by evaluating post management ICHGE and GOS Scores and mortality in 30 days.
Patients and methods: This study is a hospital-based cohort study conducted at the Neurosurgery Department, Qena University Hospitals including 60 patients who presented to the emergency department with spontaneous intracerebral hemorrhage who were subjected to full history taking, general examination, neurological examination with Glasgow Coma Scale, then were subjected to either surgical or conservative management.
Results: The average age of the included patients is 55.63±22.25 years. 56.67% were male. The most common comorbidities were HTN (38.33%) and DM (30%). The mean ICHGE score was 1.68 ±1.07, leading to a mean 30-day-mortality rate of 30.08%. ICHGE score of 1 with Mortality in 30 days (13%) was the most prevalent score. The average Glasgow Outcome Scale was 2.82±1.4. There was no significant difference regarding ICHGE Score, 30-day-Mortality and GOS between old age or young age groups and also between conservative and interventional groups.
Conclusion: By following indicators and guidelines for determining treatment course of SSIH patients; both conservative and surgical management may show similar outcome, good improvement and low mortality rate.