Surgical Fix Of Hemorrhagic Stroke
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Surgical treatment of spontaneous intracerebral hemorrhage (hemorrhagic stroke). Spontaneous cerebral hemorrhage is a heterogeneous disorder with clinical manifestations ranging from mild symptoms to death. It affects four million people worldwide each year and the average fatality rate in 30 days is 40%. Many survivors remain severely disabled, negatively impacting health services and the community where these patients are served. In cases of spontaneous intracerebral hemorrhage (ICH), arterial hypertension is the most implicated factor in vessel injury. Spontaneous ICH occurs as a result of a rupture of a blood vessel compromised by arterial hypertension or by amyloid angiopathy. Arterial hypertension leads to vasculopathy of the small penetrating arteries (Charcot Bouchard's aneurysms), favoring their rupture, especially close to bifurcations. This vasculopathy of the small vessels can affect the anterior, middle and posterior cerebral arteries and the basilar artery, leading to bleeding most commonly in the nuclei of the base, thalamus, cerebellum and pons. The initial brain damage results from the dissection of the hematoma itself between the planes of the white substance, with a consequent mass effect.