[Diagnosis and treatment of chronic expanding intracerebral hematoma].

OBJECTIVE

To explore the diagnosis, therapeutic strategy, and pathogenetic mechanism of chronic expanding intracerebral hematoma (CEICH).

METHODS

The clinical presentation, radiological characteristics, d pathology, and treatment of 22 cases of CEICH, 15 males and 7 females, aged 29. 3, all treated with craniotomy and removal of the wall of the capsule and hematoma, were analyzed retrospectively.

RESULTS

The clinical presentation and radiological characteristics of CEICH were atypical. After surgery, 18 patients recovered quite well, 3 patients suffered from hemiplegia, and 1 patient died from rebleeding. The diagnosis of CEICH of all the cases was confirmed by intraoperative finding and pathological results.

CONCLUSION

CEICH can be found in any part of the brain that has 2 major characteristics: its clinical symptoms always develop slowly, and the typical radiological characteristic is intracerebral hematoma-form image. Surgery to evacuate the hematoma and remove the capsule is necessary and can be with good outcome.