We aim to summarize the role of surgical treatment of spontaneous basal ganglionic hemorrhage based on prospective analysis of our patients and determine the factors that favor the outcome. A prospective analysis was done of 66 patients from January 2014 to June 2017. Inclusion criteria for the patients in this study were as follows: patients aged between 15 and 60 years; CT scan showed basal ganglionic hematoma with or without intraventricular extension within 24 h post ictus; hematoma volume was Glasgow Coma Scale (GCS) scores ≥ 5, and stable vital signs. Surgical techniques are open craniotomy. A total of 66 patients underwent surgical intervention consisting of 47 (71.2%) men and 19 (28.8%) women. Their age varies from 15 to 60 with mean age ± SD (range) 46.53 ± 13.24 (18.0–60.0). According to GCS, patients were categorized into three groups: GCS 5–8, 21 (31.8%) patients; GCS 9–12, 30 (45.5%) patients; and GCS 13–15, 15 (22.7%) patients. The favorable outcome group was slightly younger (p value 0.050*). Also, the volume and extension of hematoma into the ventricular system, hydrocephalic dilatation, and midline shift greater than 5 mm had a significantly worse outcome with statistically significant difference. The early surgical management with removal of the hematoma led to dramatic reduction of ICP and improved the prognosis. Patients with signs of brain herniation, a midline shift > 5 mm, hydrocephalic dilatation, ventricular hemorrhage, and a depressed level of consciousness have a poor prognosis. 17300234 registered 9/2018

中文翻译：

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大型高血压基础神经节出血的手术治疗：单中心经验

我们旨在根据对患者的前瞻性分析来总结外科治疗自发性基底节神经节出血的作用，并确定有利于预后的因素。从2014年1月至2017年6月对66例患者进行了前瞻性分析。本研究的患者纳入标准如下：年龄在15至60岁之间；CT扫描显示在发作后24小时内有或没有脑室内延伸的基底节性血肿；血肿量为格拉斯哥昏迷量表（GCS）评分≥5，生命体征稳定。手术技术为开颅手术。共有66例患者接受了手术干预，其中男47例（71.2％），女19例（28.8％）。他们的年龄从15岁到60岁不等，平均年龄为±SD（范围）46.53±13.24（18.0-60.0）。根据GCS，患者分为三类：GCS 5-8，21（31.8％）例；GCS 9-12，30名（45.5％）患者；和GCS 13-15，有15名（22.7％）患者。有利结局组稍年轻（p值0.050 *）。此外，血肿进入心室系统的体积和范围，脑积水扩张和中线移位大于5 mm的结局明显较差，差异有统计学意义。早期手术治疗中去除血肿可导致ICP显着降低并改善预后。有脑疝，中线移位> 5 mm，脑积水扩张，心室出血和意识水平低下的患者预后较差。17300234注册于9/2018 050 *）。此外，血肿进入心室系统的体积和范围，脑积水扩张和中线移位大于5 mm的结局明显较差，差异有统计学意义。早期手术治疗中去除血肿可导致ICP显着降低并改善预后。有脑疝，中线移位> 5 mm，脑积水扩张，心室出血和意识水平低下的患者预后较差。17300234注册于9/2018 050 *）。此外，血肿进入心室系统的体积和范围，脑积水扩张和中线移位大于5 mm的结局明显较差，差异有统计学意义。早期手术治疗中去除血肿可导致ICP显着降低并改善预后。有脑疝，中线移位> 5 mm，脑积水扩张，心室出血和意识水平低下的患者预后较差。17300234注册于9/2018 早期手术治疗中去除血肿可导致ICP显着降低并改善预后。有脑疝，中线移位> 5 mm，脑积水扩张，心室出血和意识水平低下的患者预后较差。17300234注册于9/2018 早期手术治疗中去除血肿可导致ICP显着降低并改善预后。有脑疝，中线移位> 5 mm，脑积水扩张，心室出血和意识水平低下的患者预后较差。17300234注册于9/2018