Decompressive Hemicraniectomy without Evacuation of Acute Intraparenchymal Hemorrhage.

Background: Intracerebral hemorrhages (ICHs) are prevalent, with high morbidity and mortality. We analyzed whether decompressive craniectomy (DC) without evacuation of the acute intraparenchymal hematoma could produce better functional outcomes than treatment with evacuation.

Methods: Patients with acute ICH treated with DC without clot evacuation, or evacuation with or without associated craniectomy were included.