Decompression and mini-invasive surgery for hypertensive intracerebral hematoma

Abstract

Despite significant progress in the emergency management of these patients, the ideal surgical treatment is still to be determined. Surgical hematoma evacuation has many theoretical advantages, such as the prevention of mass effect, cerebral ischemia, reduction of intracranial pressure, and reduction of neurotoxicity. Several surgical methods, such as open puncture aspiration, decompressive craniotomy, and endoscopic surgery, were considered. This article reviews the clinical data on surgical hematoma evacuation and its role in reducing mortality and improving functional outcomes after hypertensive intracerebral hemorrhage.