{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:21:29Z","timestamp":1787775689546,"version":"build-2784847793"},"reference-count":39,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Published trials and meta-analyses have suggested the role of surgery in select patients of hypertensive intracerebral hematoma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study compares two methods of hematoma aspiration, craniotomy, and stereotactic aspiration.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and Material:<\/jats:title>\n                    <jats:p>We conducted retrospective analyses of patients who underwent surgery for capsule-ganglionic hematoma during Jan-2015\u2013Dec-2019. Surgical, intensive-care parameters, and neurological outcomes were compared. Patients operated for Capsule-Ganglionic hypertensive hematomas, Glasgow Coma Scale (GCS) 5-12, hematoma volume \u226530 ml, no concomitant IVH, age &lt;80 years were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 173 patients were included (90 craniotomy and 83 stereotactic aspiration groups). Both groups were equivalent in preoperative parameters (P &gt; 0.5). There were no significant differences in residual hematoma volumes, surgical site infections\/Meningitis, and chances of re-bleed between the two groups (P &gt; 0.05). The number of days on ventilation, ICU-stay, and hospital-stay were higher in craniotomy group (P &lt; 0.001). Mean Modified Ranking Score (MRS) was lower (P 0.01) in the stereotactic aspiration group. A higher number of patients in the stereotactic aspiration group achieved good MRS (0-2) (P 0.02). Overall case-fatality rate was 38\/173 (21.96%) (craniotomy - 24\/90 (26.66%), stereotactic aspiration - 14\/83 (16.86%),\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      0.12). In left-side hematomas, mean MRS was not different between both methods, whereas it differed in the right-side hematomas. On step-wise logistic regression analysis, predicting parameters for the poor outcome (MRS 3-6) were GCS 5-8 (Odds Ratio (OR) 2.38), Left-side (OR 1.75), and craniotomy as a method of evacuation (OR 1.70).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Stereotactic aspiration of the hematoma has the superior edge over craniotomy. Neurological and care parameters are significantly better with stereotactic aspiration. Its safety and surgical performance parallel craniotomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/0028-3886.344635","type":"journal-article","created":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T04:05:56Z","timestamp":1692849956000},"page":"535-542","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":5,"title":["Comparison of Craniotomy and Stereotactic Aspiration Plus Thrombolysis in Isolated Capsulo-Ganglionic Hematoma: A Retrospective Analyses"],"prefix":"10.4103","volume":"70","author":[{"given":"Sanjeev","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satya Narayan","family":"Madhariya","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deepak","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Critical Care, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh","family":"Agrawal","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Debabrata","family":"Sahana","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, DKS Post Graduate Institute and Research Center, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashutosh","family":"Mourya","sequence":"additional","affiliation":[{"name":"Department of Critical Care, Ramkrishna Care Hospital, Raipur, Chhattisgarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2022,5,3]]},"reference":[{"key":"R2-20260803","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1038\/s41371-018-0117-3","article-title":"Emerging trends in hypertension epidemiology in India","volume":"33","author":"Gupta","year":"2019","journal-title":"J Hum Hypertens"},{"key":"R3-20260803","doi-asserted-by":"crossref","first-page":"1170","DOI":"10.1097\/HJH.0000000000000146","article-title":"Hypertension in India: A systematic review and meta-analysis of prevalence, awareness, and control of hypertension","volume":"32","author":"Anchala","year":"2014","journal-title":"J Hypertens"},{"key":"R4-20260803","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1016\/j.ihj.2020.04.013","article-title":"Prevalence of hypertension among Indian adults: Results from the great India blood pressure survey","volume":"72","author":"Ramakrishanan","year":"2020","journal-title":"Indian Heart J"},{"key":"R5-20260803","doi-asserted-by":"crossref","first-page":"175","DOI":"10.4103\/ijmr.IJMR_516_15","article-title":"Incidence & prevalence of stroke in India: A systematic review","volume":"146","author":"Kamalakannan","year":"2017","journal-title":"Indian J Med Res"},{"key":"R6-20260803","doi-asserted-by":"crossref","first-page":"e259","DOI":"10.1016\/S2214-109X(13)70089-5","article-title":"Global and regional burden of first-ever ischaemic and haemorrhagic stroke during 1990-2010: Findings from the Global Burden of Disease Study 2010","volume":"1","author":"Krishnamurthi","year":"2013","journal-title":"Lancet Glob Health"},{"key":"R7-20260803","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1016\/S0140-6736(13)60986-1","article-title":"Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): A randomised trial","volume":"382","author":"Mendelow","year":"2013","journal-title":"Lancet"},{"key":"R8-20260803","doi-asserted-by":"crossref","first-page":"2953","DOI":"10.1161\/STROKEAHA.113.002533","article-title":"Surgery for intracerebral hemorrhage: Moving forward or making circles?","volume":"44","author":"Flaherty","year":"2013","journal-title":"Stroke"},{"key":"R9-20260803","doi-asserted-by":"crossref","first-page":"1108","DOI":"10.1161\/STROKEAHA.118.022694","article-title":"Surgical decision making in brain hemorrhage","volume":"50","author":"Gregson","year":"2019","journal-title":"Stroke"},{"key":"R10-20260803","doi-asserted-by":"crossref","first-page":"2612","DOI":"10.1161\/STROKEAHA.118.020688","article-title":"Minimally invasive surgery for intracerebral hemorrhage","volume":"49","author":"Scaggiante","year":"2018","journal-title":"Stroke"},{"key":"R11-20260803","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1002\/ana.25732","article-title":"Neurosurgical intervention for supratentorial intracerebral hemorrhage","volume":"88","author":"Sondag","year":"2020","journal-title":"Ann Neurol"},{"key":"R12-20260803","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1161\/01.STR.32.4.891","article-title":"The ICH score: A simple, reliable grading scale for intracerebral hemorrhage","volume":"32","author":"Hemphill","year":"2001","journal-title":"Stroke"},{"key":"R13-20260803","doi-asserted-by":"crossref","first-page":"2007","DOI":"10.1161\/STROKEAHA.117.017866","article-title":"Evolution of the modified Rankin scale and its use in future stroke trials","volume":"48","author":"Broderick","year":"2017","journal-title":"Stroke"},{"key":"R14-20260803","doi-asserted-by":"crossref","first-page":"1228","DOI":"10.1016\/S1474-4422(16)30234-4","article-title":"Safety and efficacy of minimally invasive surgery plus alteplase in intracerebral haemorrhage evacuation (MISTIE): A randomised, controlled, open-label, phase 2 trial","volume":"15","author":"Hanley","year":"2016","journal-title":"Lancet Neurol"},{"key":"R15-20260803","doi-asserted-by":"crossref","first-page":"121","DOI":"10.3389\/fneur.2014.00121","article-title":"Monitoring of intracranial pressure in patients with traumatic brain injury","volume":"5","author":"Hawthorne","year":"2014","journal-title":"Front Neurol"},{"key":"R17-20260803","doi-asserted-by":"crossref","first-page":"65","DOI":"10.4103\/amhs.amhs_42_17","article-title":"Surgery for spontaneous intracerebral hemorrhage: Emerging trends","volume":"5","author":"Menon","year":"2017","journal-title":"Arch Med Health Sci"},{"key":"R18-20260803","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1161\/STROKEAHA.111.000411","article-title":"Minimally invasive surgery plus recombinant tissue type plasminogen activator for intracerebral hemorrhage evacuation decreases perihematomal edema","volume":"44","author":"Mould","year":"2013","journal-title":"Stroke"},{"key":"R19-20260803","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1159\/000481728","article-title":"The pathophysiological mechanism and treatment of secondary brain insult of hypertensive intracerbral hemorrhage","volume":"4","author":"Sun","year":"2017","journal-title":"Integr Med Int"},{"key":"R20-20260803","doi-asserted-by":"crossref","first-page":"1332","DOI":"10.1111\/jch.13627","article-title":"Managing blood pressure in acute intracerebral hemorrhage","volume":"21","author":"Lattanzi","year":"2019","journal-title":"J Clin Hypertens (Greenwich)"},{"key":"R21-20260803","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1186\/s13054-020-2749-2","article-title":"Surgery for spontaneous intracerebral hemorrhage","volume":"24","author":"de Oliveira Manoel","year":"2020","journal-title":"Crit Care"},{"key":"R22-20260803","doi-asserted-by":"crossref","first-page":"1021","DOI":"10.1016\/S0140-6736(19)30195-3","article-title":"Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): A randomised, controlled, open-label, blinded endpoint phase 3 trial","volume":"393","author":"Hanley","year":"2019","journal-title":"Lancet"},{"key":"R23-20260803","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.surneu.2005.12.020","article-title":"Impact of stereotactic hematoma evacuation on medical costs during the chronic period in patients with spontaneous putaminal hemorrhage: A randomized study","volume":"65","author":"Hattori","year":"2006","journal-title":"Surg Neurol"},{"key":"R24-20260803","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1179\/016164110X12670144526147","article-title":"An effective treatment for cerebral hemorrhage: Minimally invasive craniopuncture combined with urokinase infusion therapy","volume":"32","author":"Sun","year":"2010","journal-title":"Neurol Res"},{"key":"R25-20260803","doi-asserted-by":"crossref","first-page":"661","DOI":"10.1007\/s00415-011-5902-7","article-title":"Minimally invasive stereotactic puncture and thrombolysis therapy improves long-term outcome after acute intracerebral hemorrhage","volume":"258","author":"Zhou","year":"2011","journal-title":"J Neurol"},{"key":"R26-20260803","first-page":"10","article-title":"Can minimally invasive puncture and drainage for hypertensive spontaneous Basal Ganglia intracerebral hemorrhage improve patient outcome: A prospective non-randomized comparative study","volume":"1","author":"Wang","year":"2014","journal-title":"Mil Med Res"},{"key":"R27-20260803","doi-asserted-by":"crossref","first-page":"677","DOI":"10.12669\/pjms.323.9533","article-title":"Clinical effect of minimally invasive intracranial hematoma in treating hypertensive cerebral hemorrhage","volume":"32","author":"Yang","year":"2016","journal-title":"Pak J Med Sci"},{"key":"R28-20260803","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1016\/j.wneu.2017.05.158","article-title":"Minimally invasive surgery for patients with hypertensive intracerebral hemorrhage with large hematoma volume: A retrospective study","volume":"105","author":"Wang","year":"2017","journal-title":"World Neurosurg"},{"key":"R29-20260803","doi-asserted-by":"crossref","first-page":"539","DOI":"10.34297\/AJBSR.2020.08.001336","article-title":"Overall Clinical outcome of stereotactic guided burrhole-drainage versus craniotomy with removal of spontaneous intracerebral hemorrhage","volume":"8","author":"Park","year":"2020","journal-title":"Am J Biomed Sci Res"},{"key":"R30-20260803","doi-asserted-by":"crossref","first-page":"2923","DOI":"10.1161\/STROKEAHA.112.667535","article-title":"Minimally invasive surgery for spontaneous supratentorial intracerebral hemorrhage: A meta-analysis of randomized controlled trials","volume":"43","author":"Zhou","year":"2012","journal-title":"Stroke"},{"key":"R31-20260803","doi-asserted-by":"crossref","first-page":"1650","DOI":"10.1016\/j.jocn.2013.03.022","article-title":"Minimally invasive surgery for primary supratentorial intracerebral haemorrhage","volume":"20","author":"Ramanan","year":"2013","journal-title":"J Clin Neurosci"},{"key":"R32-20260803","doi-asserted-by":"crossref","first-page":"136","DOI":"10.1186\/s12883-018-1138-9","article-title":"Efficacy and safety of minimal invasive surgery treatment in hypertensive intracerebral hemorrhage: A systematic review and meta-analysis","volume":"18","author":"Tang","year":"2018","journal-title":"BMC Neurol"},{"key":"R33-20260803","doi-asserted-by":"crossref","first-page":"170","DOI":"10.7461\/jcen.2012.14.3.170","article-title":"Stereotactic burr hole aspiration surgery for spontaneous hypertensive cerebellar hemorrhage","volume":"14","author":"Lee","year":"2012","journal-title":"J Cerebrovasc Endovasc Neurosurg"},{"key":"R34-20260803","first-page":"4750","article-title":"Continuous monitoring of intracranial pressure for prediction of postoperative complications of hypertensive intracerebral hemorrhage","volume":"20","author":"Yu","year":"2016","journal-title":"Eur Rev Med Pharmacol Sci"},{"key":"R35-20260803","doi-asserted-by":"crossref","first-page":"547","DOI":"10.1016\/j.surneu.2005.09.032","article-title":"Endoscopic surgery for spontaneous basal ganglia hemorrhage: Comparing endoscopic surgery, stereotactic aspiration, and craniotomy in noncomatose patients","volume":"65","author":"Cho","year":"2006","journal-title":"Surg Neurol"},{"key":"R36-20260803","doi-asserted-by":"crossref","first-page":"e01471","DOI":"10.1002\/brb3.1471","article-title":"Efficacy of neuroendoscopic surgery versus craniotomy for supratentorial hypertensive intracerebral hemorrhage: A meta-analysis of randomized controlled trials","volume":"9","author":"Zhao","year":"2019","journal-title":"Brain Behav"},{"key":"R37-20260803","doi-asserted-by":"crossref","first-page":"10389","DOI":"10.1038\/s41598-020-67456-x","article-title":"Endoscopic hematoma removal of supratentorial intracerebral hemorrhage under local anesthesia reduces operative time compared to craniotomy","volume":"10","author":"Katsuki","year":"2020","journal-title":"Sci Rep"},{"key":"R38-20260803","doi-asserted-by":"crossref","first-page":"417","DOI":"10.3171\/jns.2004.101.3.0417","article-title":"Impact of stereotactic hematoma evacuation on activities of daily living during the chronic period following spontaneous putaminal hemorrhage: A randomized study","volume":"101","author":"Hattori","year":"2004","journal-title":"J Neurosurg"},{"key":"R39-20260803","first-page":"6138424","article-title":"White matter injury and recovery after hypertensive intracerebral hemorrhage","author":"Zuo","year":"2017","journal-title":"Biomed Res Int"},{"key":"R40-20260803","doi-asserted-by":"crossref","first-page":"3393","DOI":"10.1161\/STROKEAHA.109.557256","article-title":"Reliability of the modified Rankin scale: A systematic review","volume":"40","author":"Quinn","year":"2009","journal-title":"Stroke"},{"key":"R41-20260803","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1177\/1747493018778122","article-title":"Suggested modification of presentation of stroke trial results","volume":"13","author":"Goyal","year":"2018","journal-title":"Int J Stroke"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.344635","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:39:09Z","timestamp":1787773149000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.344635"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,3]]},"references-count":39,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2022]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.344635","relation":{},"ISSN":["0028-3886","1998-4022"],"issn-type":[{"value":"0028-3886","type":"print"},{"value":"1998-4022","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,3]]},"assertion":[{"value":"2021-03-31","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-08-21","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}