Question

A 62-year-old with severe ICH is comatose with significant midline shift and refractory ICP despite maximal medical therapy. What surgical option may be considered?

Accepted Answer

Decompressive craniectomy with or without hematoma evacuation

Answer

No surgery is ever helpful

Answer

Stereotactic thrombolysis for all

Answer

tPA infusion into hematoma routinely

Answer

Platelet transfusion for all

Practice question

A 62-year-old with severe ICH is comatose with significant midline shift and refractory ICP despite maximal medical therapy. What surgical option may be considered?