Cerebral hemodynamics in 15 patients with hypertensive intracerebral hemorrhage (HICH) were evaluated by measuring cerebral blood flow (CBF) and cerebrovascular reserve capacity, using stable xenon-enhanced computed tomography.Their hematomas were removed by stereotactic aqua stream aspiration.The hemispheric and thalamic CBFs of patients with HICH were lower than those of hypertensive pationts without hematomas.However,the hemispheric CBF increased according to hw much of the hematoma by surgical hematoma removal,although some adjunct therapies are necessary in oder to prevent secondary edema and the delayed neuronal death.
hypertensive intracerebral hemorrhage
cerebral blood flow
Xe-CT
acetazolamide