Clinical Analysis and Operative Management of Spontaneous Brain Stem Hemorrhage.
- Author:
Tae Whoan LEE
1
;
Chul HU
;
Young Pyo HAN
;
Hun Joo KIM
;
Soon Ki HONG
;
Jhin Soo PYEN
Author Information
1. Department of Neurosurgery, Wonju College of Medicine, Yonsei University, Wonju, Korea.
- Publication Type:Original Article
- Keywords:
Spontaneous brain stem hemorrhage;
Age;
Hypertension;
GCS score;
Hematoma size;
Prognosis
- MeSH:
Brain Stem*;
Brain*;
Gangwon-do;
Hematoma;
Hemorrhage*;
Humans;
Hypertension;
Mortality;
Prognosis
- From:Journal of Korean Neurosurgical Society
1996;25(11):2310-2316
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Spontaneous brain stem hemorrhage usually results in higher mortality and morbidity with poorer prognosis than any other intracranial vascular lesions in spite of meticulous medical or surgical treatment. We have experienced 86 cases of spontaneous brain stem hemorrhage who were admitted to Wonju college of medicine from January 1983 to Octobr 1995. 33 cases were treated with operation and 53 cases with non-operative treatment. The results were as follows: 1) Clinical parameters in both operative and non-operative groups showed no significant differences. 2) Treatment results were better in the operative group. Operative treatment is recommended in cases of GCS score below 7, hematoma size larger than 10ml, young age, and normotensive patients. 3) Appropriate operative approaches should be considered according to the patient's status. Recently, we most frequently performed a stereotactic approach. 4) Better outcome was obtained when the patients were operated from 72 hours to one or two weeks following the h emorrhage. 5) Hypertension, old age, and GCS score above 7 showed no statistical differences in terms of outcome between the operative and non-operative groups.
