Medical versus neurosurgical treatment in ICH patients: a single center experience

• DOI: 10.1007/s10072-023-07015-0
• Publication Date: 2023-08-14T05:02:01Z
• Authors: P. Pierini; Agnese Novelli; F. Bossi; R. Corinaldesi; M. Paciaroni; M. G. Mosconi; A. Alberti; M. Venti; I. Leone de Magis...; V. Caso
• Keywords: Demographics; Spontaneous intracerebral hemorrhage; Neuroradiology; Single Center

Abstract Background and aims The effect of surgical treatment for spontaneous intracerebral hemorrhage (ICH) remains uncertain. We conducted an observational retrospective cohort study on supra-centimeter ICH treated with either neurosurgical or conservative management. baseline demographics risk factors were correlated in-hospital mortality 3 6-month survival rates stratified by Methods included all patients evidence > 1 cm detected CT admitted between august 2020 march 2021 to the “SMM” Hospital in Perugia. Results Onehundredandtwentytwo study, 45% (n.55) surgically treated. mean age was 71.9 ± 15.3, 61% (n.75) males. Intra-hospital ended up being 31% (n.38), months-survival 63% (n.77) 6 60% (n.73). From multivariate analysis versus medical patient, we observed that younger (67.5 14.9 vs 75.5 14.7 y; OR 0.87; Cl 95% 0.85–0.94; p 0.001), greater volume at onset (61 39.4 cc 51 64 cc; 1.03; 1.005–1.07; 0.05), more midline shift (7.61 5.54 mm 4.09 5.88 mm; 1.37; 1.045–1.79; 0.023), a higher score (3 2 score; 21.12; 2.6–170.6; 0.004). group respectively 33% 30%, month-survival 64% month- both groups. Conclusions Our patient shows no overall benefit from surgery over treatment, but had larger volume.