[Evaluation of the results of the treatment of cerebral hematoma in relation to its volume using the "best fit" method]. / Próba oceny wyników leczenia krwiaków sródmózgowych w zaleznosci od objetosci obliczanej metoda "najlepszego dopasowania".

ABSTRACT

A method is described in which the volumes of intracerebral haematomas were retrospectively measured by a method of best-fitting circles, in 173 consecutive patients. 173 patients were operated on and 41 were treated conservatively. Prognosis in supratentorial haematomas of the volume up to 65 ml is better by 20% when they are treated conservatively. It seems that surgical treatment should be reserved for patients with haematomas over 65 ml presenting progressive deterioration of neurological condition. On the other hand, patients with infratentorial haematoma over 14 ml of volume should be operated on as quickly as possible.