Objective: Spontaneous supratentorial intracerebral hematomas (SSIH) are among the pathologies that cause serious mortality and morbidity. The objective of this study was to assess the demographic and clinical characteristics, treatment approaches and outcomes of SSIH patients.

Methods: We retrospectively analyzed 108 patients who were diagnosed with SSIH between December 2017 and December 2018.

Results: Eighty nine (82.4%) of 108 patients were treated conservatively and 19 (17.6%) patients were treated surgically. Fifty seven (52.8%) of the patients were male and 51 (47.2%) were female. The mean age was 64.5±14.0. The mean Glasgow Coma scale (GCS) of the patients was 12.3±3.0, and the GCS of the surgical group was significantly lower than the conservative group (p<0.05). The mean hematoma volume was 40.1±51.6 mL, and the hematoma volume in the surgical group was significantly higher than the conservative group (p<0.05). Intraventricular hemorrhage and midline shift positivity were significantly higher in the surgical group (p<0.05). The mean Intracerebral Hematoma score (IHS) of the patients was 1.3±1.4. IHS was significantly higher in the surgical group (p<0.05). Mortality rates in the first month, sixth month and first year were significantly higher in the surgical group (p<0.05).

Conclusion: Because of the high mortality rate and severe morbidities that occurs after the SSIH, it is mandatory to identify and apply standardized treatment strategies for patients.