Results of Surgical Treatment in Nontraumatic Deep Intracerebral Hematomas.
- Author:
Kyung Soo KIM
1
;
Jae Hong KIM
;
In Suk HAMM
;
Yeon Mook PARK
;
Seung Lae KIM
Author Information
1. Department of Neurosurgery, School of Medicine, Kyungpook National University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Nontraumatic intracerebral hematoma;
Burr hole aspiration;
Craniotomy
- MeSH:
Consciousness;
Craniotomy;
Emergencies;
Gyeongsangbuk-do;
Hematoma*;
Hemorrhage;
Humans;
Renal Insufficiency
- From:Journal of Korean Neurosurgical Society
1990;19(1):52-60
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
140 patients of nontraumatic deep intracerebral hematoma, admitted at Kyungpook National University Hospital for 2 years, were evaluated through analysis for their therapeutic results. Two operative methods were adopted ; emergency craniotomy and burr hole aspiration applied each method to the patients occupied 35.7% of whole cases respectively and the remaining 28.6% went without operation. Most of the craniotomy was done within 24 hours after bleeding attack with a result of 82% of complete removal of hematoma. Burr hole aspiration was done within and around one to two weeks for perfect removal. Consciousness after removal of hematoma showed a remarkable improvement while motor weakness improved rather slowly. Therapeutic results of the whole patients at the time of discharge were following ; Good-15%, doing enough for daily life, Fair-56.4%, possible for carrying out daily routine in near future, and total death was 12 patients(8.6% of the whole) ; 7 patients(58.3%) due to direct effect by the hematoma and 5 patients(41.7%) due to infection and renal failure.
