The Efficacy for Hypertensive Intracerebral Hemorrhage Between Neuroendoscopic Surgery and Conservative Treatment: A Retrospective Observational Study

Guojin Huo; Yanping Lan; Yi Feng; Xiang Gao; Chen Chen

doi:10.1097/NRL.0000000000000597

The Efficacy for Hypertensive Intracerebral Hemorrhage Between Neuroendoscopic Surgery and Conservative Treatment: A Retrospective Observational Study

Neurologist. 2024 Nov 21. doi: 10.1097/NRL.0000000000000597. Online ahead of print.

Authors

Guojin Huo¹, Yanping Lan², Yi Feng¹, Xiang Gao¹, Chen Chen¹

Affiliations

¹ Department of Neurosurgery, Yulin No. 1 Hospital, Yulin City, Shaanxi.
² Department of Neurosurgery, People's Hospital of Ningxia Hui Autonomous Region, Yinchuan City, Ningxia, China.

PMID: 39575625
DOI: 10.1097/NRL.0000000000000597

Abstract

Objectives: This study aims to investigate the efficacy of neuroendoscopic surgery in the treatment of hypertensive intracerebral hemorrhage (HICH).

Methods: A total of 193 patients diagnosed with HICH were divided into 2 groups in this study: the observation group (n=101) received neuroendoscopic surgery, whereas the control group (n=92) underwent conservative treatment. Then, the outcomes between these 2 groups were compared and assessed.

Results: In the pretreatment phase, there were no significant differences in the levels of inflammation and neurological function scores between these 2 groups (P>0.05). After 3 months of treatment, the observation group displayed significantly shorter median hospital stay, lower average hospital costs, and faster hematoma resorption time, along with reduced levels of tumor necrosis factor-alpha (TNF-α), C-reactive protein (CRP), interleukin (IL)-6 and IL-8, aquaporin-4 (AQP4), macrophage migration inhibitory factor (MIF), matrix metalloproteinase-9 (MMP-9), granulocyte macrophage colony stimulating factor (GM-CSF), Nerve Deficiency Scale (NDS), Graeb score, and national institute of health stroke scale (NIHSS) compared with the control group (P<0.05). In addition, the observation group exhibited higher rate of hematoma clearance and better glasgow outcome scale (GOS) score compared with the control group (P<0.05). The effective treatment rate in the observation group was notably superior to that in the control group (89.11% vs. 73.91%, P<0.05).

Conclusions: Neuroendoscopic surgery is an effective treatment for HICH, with alleviating the inflammatory response and enhancing the neurological function. The treatment shows promising outcomes and justifies extensive implementation.