Age, hemorrhage location, volume of hematoma, and postoperative residual hematoma or rebleeding are independent prognostic factors for outcomes in patients with hypertensive intracerebral hemorrhage in the basal ganglia region treated with stereotactic surgery.
Among 116 patients with basal ganglia HICH treated with stereotactic surgery, 44.8% had favorable outcomes and 55.2% had unfavorable outcomes.
Older age was identified as an independent factor associated with unfavorable prognosis after stereotactic surgery for HICH.
Hemorrhage location within the basal ganglia region was an independent predictor of unfavorable outcome.
Larger hematoma volume was independently associated with unfavorable prognosis in HICH patients treated with stereotactic surgery.
Postoperative residual hematoma or rebleeding was an independent factor associated with unfavorable outcome.
Eight variables were significantly associated with prognosis on univariate analysis, though only four remained significant on multivariate analysis.
This research examined what factors influence recovery in patients who had a type of brain bleed called hypertensive intracerebral hemorrhage (HICH) in a deep brain region called the basal ganglia, and who were treated with a minimally invasive surgical technique called stereotactic surgery. The study looked back at records from 116 patients treated over about two and a half years. Outcomes were measured using a standard disability scale, and just under half of patients (44.8%) achieved a good recovery, while the majority (55.2%) had poor outcomes. The study found that four factors were independently linked to worse outcomes: older age, the specific location of the bleed within the basal ganglia, a larger volume of blood at the time of hemorrhage, and having leftover blood clot or re-bleeding after surgery. Several other factors — including how alert the patient was before surgery, whether blood had broken into the brain's fluid spaces, the need for an additional drainage tube, and developing pneumonia after surgery — were associated with worse outcomes in initial analyses but were not independently predictive once all factors were considered together. This research suggests that patient age and hematoma size at presentation, as well as the precise location of the bleed and surgical complications like rebleeding, are key considerations when predicting recovery for this patient population. These findings could help clinicians better identify high-risk patients and potentially guide decisions aimed at preventing post-surgical rebleeding or residual clot, which appears to be a modifiable factor influencing recovery.
Jiang F, Yu X, Huang C, Bao Q. (2026). Analysis of influencing factors in patients with hypertensive intracerebral hemorrhage in the basal ganglia region treated with stereotactic surgery.. Neurosurgical review. https://doi.org/10.1007/s10143-026-04492-7