ORIGINAL ARTICLE

Clinical, radiological features, and surgical management of spontaneous intracerebral hemorrhage patients in East Nusa Tenggara-Indonesia

Yustinus Robby Budiman Gondowardojo , Donny Argie, Achmad Adam, Ni Luh Made Novi Ratnasari

Yustinus Robby Budiman Gondowardojo
Surgery Department Neurosurgery Division Prof. Dr. WZ Johannes General Hospital, Kupang, East Nusa Tenggara, Indonesia. Email: [email protected]

Donny Argie
Surgery Department Neurosurgery Division Prof. Dr. WZ Johannes General Hospital, Kupang, East Nusa Tenggara, Indonesia

Achmad Adam
Neurosurgery Department Medical Faculty Padjajaran University, Hasan Sadikin General Hospital, Bandung, West Java, Indonesia

Ni Luh Made Novi Ratnasari
Medical Faculty, Udayana University, Denpasar - Bali, Indonesia
Online First: August 08, 2018 | Cite this Article
Budiman Gondowardojo, Y., Argie, D., Adam, A., Ratnasari, N. 2018. Clinical, radiological features, and surgical management of spontaneous intracerebral hemorrhage patients in East Nusa Tenggara-Indonesia. Bali Medical Journal 7(2). DOI:10.15562/bmj.v7i2.637


Introduction: Spontaneous intracerebral hemorrhage accounts for 10-15% of strokes and the most fatal type. Management of spontaneous intracerebral hematoma (SICH) is divided into two groups - medical and surgical interventions. Although surgical management is controversial, it can be lifesaving when patient is deteriorating. Objective: The aim of this study are to describe clinical, radiological features, surgical management, and patient’s outcome. Method: This is a descriptive case series study, carried out retrospectively over a period of 2 years at department of surgery, neurosurgery division, Prof. DR. WZ Johannes General Hospital, Kupang. Total of 14 patients were included in the study. Clinical, radiological features, period between onset and operation, surgical management and outcome were identified. Results: Hemiparesis or hemiplegia and language dysfunction (92.86%) was the commonest presenting clinical feature followed by headache (71.43%). Most of the hematomas were in basal ganglia region (57.14%), (50.00%) involving cortex cerebral, (35.71%) involving thalamus, and (28.57%) had intraventricular extension. Craniotomy clot evacuation was the major surgical intervention used to manage. Conclusion: Hemiparesis and language dysfunction were the most frequent presenting clinical features. Deeper region of the brain as basal ganglia more involved than other area of the brain. Surgical intervention used to manage is based on clinical condition and anatomical complication of the patients.

 

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