What is the recommended timing for surgery for ICH?
Randomized prospective trials to date have reported on a wide time frame for surgery that ranges from 4 to 96 hours after symptom Subgroup analyses of patients in STICH II suggested a trend toward better outcome for patients operated on before 21 hours from ictus. Ultra-early craniotomy (within 4 hours from ictus) was associated with an increased risk of rebleeding in a study that involved 24 patients.