Lateral cleft microsurgery via pterional approach in treating hypertensive cerebral hemorrhage
10.3760/cma.j.issn.1671-8925.2010.05.022
- VernacularTitle:翼点入路经侧裂显微外科手术治疗基底节区高血压脑出血
- Author:
Xian-Zhen CHEN
1
;
Mei-Qing LOU
;
Zhao-Li SHEN
;
Xiang ZHANG
;
Rui SHEN
;
Zheng-Yu ZHANG
;
Fei XUE
;
Yao-Dong ZHAO
Author Information
1. 同济大学附属上海市第十人民医院
- Keywords:
Pterional approach;
Insular lobe glioma;
Hypertensive cerebral hemorrhage
- From:
Chinese Journal of Neuromedicine
2010;9(5):527-529
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the surgery skills of removing the insular lobe glioma and explore the curative effect of lateral cleft microsurgery in treating the hypertensive cerebral hemorrhage (HCH) via pterional approach. Methods The clinic data of 46 patients with gravis type HCH in the basal nuclei that accepted the lateral cleft microsurgery via pterional approach, were retrospectively analyzed. Results In all of these patients, 2 patients died and 44 survived (survival rate 95.7%);according to the ADL test, grade Ⅰ, grade Ⅱ, grade Ⅲ, grade Ⅳ and grade Ⅴ were found in 14, 16, 8, 6 and 2 patients, respectively. Conclusion This operation approach is an effective one, helping relieve the sharply high intracranial pressure and improving the patients' prognosis.
