EVACUATION OF TRAUMATIC INTRACEREBRAL HEMATOMAS USING A SIMPLIFIED STEREOTAXIC PROCEDURE

The autors present a serie of 37 traumatic intracerebral haematomas (I CH) evacuated by a simplified stereotatic surgical procedure. The mort ality rate was 80% in patients with Glasgow coma scale (G.C.S.) scores of 3-5 and 25% in patients with scores of 6-7. There were no deaths i n patients with G.C.S. of 8 or more. With the exception of the first g roup of patients, the results were better than those archieved by wide craniotomy. The importance of reduced operative trauma in patients wi th ICH, which often are associated with multifocal or diffuse brain in juries, are discussed.