Treatment of hypertensive ventricular hemorrhage cast through midfrontal keyhole approach

VernacularTitle:微骨窗经额中回入路手术治疗高血压脑出血脑室铸型
Author: Yong-Hua ZHU ¹ ; You-Ye YANG ; Shao-Hua LIN ; Wei LIAO ; Han-Tian HUANG
Author Information

1. 中山大学附属中山医院
Keywords: Ventricular hemorrhage cast; Intracranial hemorrage,hypertensive; Microsurgery
From: Chinese Journal of Neuromedicine 2009;8(7):728-730
CountryChina
Language:Chinese
Abstract: Objective To evaluate the feasibility and advantages ofmidfrontai keyhole approach for treatment of hypertensive ventricular hemorrhage cast. Methods Thirty patients with hypertensive ventricular hemorrhage cast were randomized into 2 groups to receive ventricular drainage (group A) or microsurgical hematoma elimination through midfrontal keyhole approach (group B). The clinical outcomes of the patients were assessed according to the Glasgow Outcome Scale (GOS) after 3-6 months of follow-up. Results IngroupA, 6 patients had GOS grade l, 6 had grade 2-3, and 3 had grade 4-5 outcomes. In group B, 1 patient had GOS grade 1, 2 had grade 2-3, and 12 had grade 4-5 outcomes. The patients in group B had significantly better outcomes than those in group A. Conclusion Microsurgical hematoma elimination through the midfrontal keyhole approach produces better therapeutic effect than ventrieular drainage in the treatment of hypertensive ventricular hemorrhage cast.