الفهرس 
Frontal lobeOnly 14 pages are availabe for public view
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Abstract
Summary
This study reviewed the surgical anatomy of cerebrum including
gross and micro-anatomy of cerebral lobes and their arterial blood supply.
The epidemiology, pathophysiology, pathogenesis and clinical
manifestations of spontaneous intracerebral hematoma (SICH) were
clearly reviewed. The investigations of SICH were also discussed with
their advantages, disadvantages and their role in diagnosing the disease.
The study also reviewed the measures of conservative therapy for
SICH and stressed on the point where the decision about whether and
when to surgically remove ICH remains controversial because the
traditional surgical approach (craniotomy) sometimes causes further brain
injury, but the introduction of the neuroendoscope has brought with it the
new idea of minimal invasiveness which may improve the surgical results
of ICH. The endoscopic evacuation of SICH was discussed in details
stressing on the minimally invasive technique that has advantage of less
adjacent tissue injury, less blood loss and less operation time.
The study included 20 patients suffering from SICH where male
constituted 70% while females constituted 30% with mean age was 57.75
years. 80% of the patients were hypertensive, 55% were diabetic and
almost all patients with low serum cholesterol level with mean value was
168.6 mg/dl. The mean preoperative hematoma volume was 43.50 ml and
mean evacuation rate was 84.89% with highest evacuation rate when
surgery performed 10 to 21 hours after ictus (1st CT brain) and through
longitudinal axis of the hematoma (frontal).