[Indications for surgical treatment of hypertensive intracerebral supratentorial hematomas].

The retrospective analysis comprised 26 operatively and 28 conservatively treated patients with hypertensive intracerebral supratentorial hematomas (HISH). According to indications for surgical treatment the patients were divided into three groups. The first group included patients with milder disorders of consciousness, slight neurological deficit and intracerebral hematomas less than 50 ccm. The second group included patients with more severe disorders of consciousness, marked neurological deficit and intracerebral hematomas larger than 50 ccm. The third group included patients with severe disorders of consciousness at the level of coma and decortication or decerebration phenomena. The results of surgical treatment are significantly better compared to conservative treatment (42,3%:14,3%).