Abstract :
Intracerebral haemorrhage (ICH), a dynamic phenomenon with unpredictable course is associated with almost 50% mortality. It is sharply rising amongst the young population. The surgical intervention in ICH only when the patient deteriorates on conservative management should be given a second thought. This is because young patients with less atrophic brains suffer from a sudden rise in intracranial pressure resulting in rapid deterioration giving less time to intervene especially in odd hours. So, with the advent of new surgical techniques, it may be wiser to administer them within 24 hours of ictus rather than wait for a sudden deterioration.
Keyword :
Stroke in young, Hypertensive surge, Hematoma evacuation, Hemicraniectomy