Primary Intraparenchymatous Hematomas

The truths behind the statistics of surgical treatment for hypertensive brainstem hemorrhage in China: a review

“…This question has been studied for a hundred years, yet a uniform consensus has not been met. Arseni et al distinct two groups of BSH and its terminology: hematoma and hemorrhage [ 1 ]. He defined that a “hemorrhage” was “diffuse and dilaceration,” and a “hematoma” was “localized.” Only patients with “brain stem hematoma” require surgery as the hematoma will evolve into an intracranial space-occupying lesion.…”

“…The former one acts immediately after the onset, and its delayed perifocal edema may lead to aggravation of neurological deficits. While the neurological damage is irreversible, hematoma evacuation can prevent secondary damage from the hematoma [ 1 , 2 ]. It showed that 36% of HBSH patients would develop hydrocephalus initially.…”

“…This question has been studied for a hundred years, yet a uniform consensus has not been met. Arseni et al distinct two groups of BSH and its terminology: hematoma and hemorrhage [1]. He defined that a "hemorrhage" was "diffuse and dilaceration," and a "hematoma" was "localized."…”