Factors associated with mortality after decompressive craniectomy in large basal ganglia bleeds
Open Access
- 11 May 2021
- journal article
- Published by Heighten Science Publications Corporation in Journal of Neuroscience and Neurological Disorders
- Vol. 5 (1), 029-033
- https://doi.org/10.29328/journal.jnnd.1001048
Abstract
Aim: To assess the efficacy of decompressive craniectomy in patients with large basal ganglia (BG) bleed. To establish predictive criteria of mortality after surgery in patients with BG bleed. Materials: This prospective study includes all patients of large spontaneous BG bleed operated by decompressive craniectomy without hematoma evacuation from October 2012 to September 2015. Data was collected on patient age, gender, distribution of bleed, affected hemisphere dominancy, preexisting medical conditions, admission Glasgow Coma Score (GCS), midline shift on CT or MRI Brain, hematoma volume and anisocoria, duration (hours) between the onset of stroke and operation, post-operative complications, and the duration of hospital stay. This data was correlated with one month mortality of the patients. Results: Total number of patients were 27. Mean age was 51 years and mean GCS was 7.55(range 5-11). The mean volume of the bleed was 68.51 ml. Mortality was noted in 17 out of 27 patients (63%) in 30 days. Thirteen of the 16 patients with intraventricular extension of BG bleed had mortality. The factors that showed statistically significant correlation with one month mortality were age, GCS at admission, volume of the bleed and the intraventricular extension. Conclusion: Large BG bleed was associated with high mortality and morbidity. Age of 50 years or more and GCS ≤ 8 at presentation were poor prognostic factors for decompressive craniectomy in patients with BG bleed. Patients with large BG bleed of volume > 60 ml and intraventricular extension had poor prognosis.Keywords
This publication has 24 references indexed in Scilit:
- Spontaneous intra.cerebral hemorrhage: A retrospective study of risk factors and outcome in a Turkish populationJournal of Neurosciences in Rural Practice, 2013
- Surgical treatment for large spontaneous basal ganglia hemorrhage: retrospective analysis of 253 casesBritish Journal of Neurosurgery, 2013
- Spontaneous intracerebral hemorrhage: Clinical and computed tomography findings in predicting in-hospital mortality in Central AfricansJournal of Neurosciences in Rural Practice, 2012
- Prediction of clinical outcome in acute hemorrhagic stroke from a single CT scan on admissionNorth American Journal of Medical Sciences, 2012
- Etiology and outcome determinants of intracerebral hemorrhage in a south Indian population, A hospital-based studyAnnals of Indian Academy of Neurology, 2012
- Glasgow Coma Scale and hematoma volume as criteria for treatment of putaminal and thalamic intracerebral hemorrhageSurgical Neurology, 2008
- Intraventricular hemorrhageNeurology, 2008
- Factors affecting the outcome of decompressive craniectomy for large hemispheric infarctions: a prospective cohort studyActa Neurochirurgica, 2005
- The ICH ScoreStroke, 2001
- Prediction of intracerebral hemorrhage survivalAnnals of Neurology, 1988