Differentiated method of treatment of hemorrhagic stroke

Objective: improvement of hemorrhagic stroke management by perfecting of mini- invasive punction method and revealing of optimal technique for open removal of intracerebral hematomas, by using of differentiated indications for them and by investigating postoperative dynamics. Material and methods. An analysis of management results of 140 patients (men - 82, women - 58) with hemorrhagic stroke was presented. Results. Surgical treatment for non-traumatic supratentorial intracerebral bleeding indicated in lobar and lateral locations more than 40 cm3 and in miscellaneous locations more than 30 cm3. Methods for the prevention of repeated postoperative hemorrhages and intracranial dislocation disorders have been developed. The technique of surgical treatment of intracerebral hemorrhages by puncture removal has been improved, which is a promising direction in the treatment of this type of cerebral vascular pathology