Postoperative intracerebral hemorrhages: a survey of computed tomographic findings after 1074 intracranial operations

Surg Neurol. 1985 Jun;23(6):575-80. doi: 10.1016/0090-3019(85)90006-0.


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.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brain Diseases / surgery*
  • Brain Neoplasms / surgery
  • Cerebral Hemorrhage / diagnostic imaging
  • Cerebral Hemorrhage / epidemiology
  • Cerebral Hemorrhage / etiology*
  • Child
  • Child, Preschool
  • Female
  • Hematoma / surgery
  • Humans
  • Infant
  • Infant, Newborn
  • Intracranial Aneurysm / surgery
  • Male
  • Middle Aged
  • Postoperative Complications
  • Tomography, X-Ray Computed*