Surgical intervention versus conservative care in severe hypertensive pontine hemorrhage: a retrospective analysis of clinical outcomes

1

Surgical management of severe hypertensive pontine hemorrhage significantly reduces 30/90-day mortality compared to pharmacological treatment.
2

Craniotomy offers higher hematoma clearance but increases the risk of intracranial infections, while stereotactic drainage has a higher rebleeding risk.
3

Older age, lower GCS score, larger hematoma volume, and acute obstructive hydrocephalus are identified as adverse prognostic factors.
4

The study utilized propensity score matching to create a balanced cohort, eliminating confounding bias in treatment choice.
5

Findings suggest individualized treatment decisions based on patient characteristics, but large-scale studies are needed for definitive conclusions.

Frontiers In Surgery

by Ming-Lu Li, Jian-Wang Zhang, Xiao-Qiong Su, Xu-Xiang Yu, Jun-Jiang Tong, Xin-Hua Tian, Gui-Jiang Dong, Zhong Liu
June 15, 2026

1