Surgical Vs Medical Management

The role of surgical management of a patient with an ICH has not been defined. In general, prognosis is poor when ICH is located in the posterior fossa, when the patient is old (age > 65), and when the admission Glasgow Coma Scale score is low. In addition to these factors, however, it is known that the volume of an ICH has consistently been shown to be a powerful predictor of poor outcome, regardless of clot location, patient age, and neurologic condition (10-12). Larger

Table 2 Pathophysiologic Mechanisms of Brain Injury in Intracerebral Hemorrhage

Primary injury

Local effect

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