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  • Title: Postoperative intracerebral hemorrhages: a survey of computed tomographic findings after 1074 intracranial operations.
    Author: Fukamachi A, Koizumi H, Nukui H.
    Journal: Surg Neurol; 1985 Jun; 23(6):575-80. PubMed ID: 3992457.
    Abstract:
    We surveyed computed tomographic findings after 1074 intracranial operations to determine the incidence and etiology of postoperative intracerebral hemorrhages. Medium or large hemorrhages occurred after 42 operations (3.9%). Larger hemorrhages, hemorrhages in the suprasellar region, and hemorrhages associated with other types often preceded a poor outcome. Major etiologies underlying postoperative intracerebral hemorrhages were uncontrolled bleeding from a blind area, difficult dissection of a tumor from the brain, retraction injury, vessel injury from a needle, bleeding from a residual tumor, local hemodynamic changes after removal of a tumor, premature rupture of an aneurysm, and hypertensive putaminal hemorrhage. Hypertension during recovery from anesthesia was another important factor.
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