Stereotactic Aspiration and Drainage on a Patient with Large Lobar Hemorrhage and Brain Herniation A Case Report
- VernacularTitle:立体定向抽吸引流术治疗大面积脑叶出血和脑疝
- Author:
Qun MAO
;
Junlong GOU
;
Shalina S.OUSMAN
;
David HUANG
;
Zonghui LIU
- Publication Type:Journal Article
- Keywords:
arteriovenous malformation;
craniotomy;
herniation;
intracerebral hemorrhage;
stereotactic aspiration;
thrombolysis;
urokinase
- From:
International Journal of Cerebrovascular Diseases
2005;13(1):66-69
- CountryChina
- Language:Chinese
-
Abstract:
A 43-year-old man was diagnosed as massive left occipital lobe hemorrhage with the hematoma expanded into the entire ventricular system. On admission, he was in deep coma with clinical signs of brain herniation and a Glasgow Coma Scale (GCS) score of 4. Vascular malformations were highly suspected since he was young with no history of hypertension. Considering the life-threatening situation, open craniotomy and hematoma evacuation was proposed as the first therapeutic option, but this was refused by his family members for non-medical reasons. In order to save his life, stereotactic aspiration was suggested again and was accepted. UK at an aggressive dosage of 50 000 IU was administered during and after the surgical procedure for 5 days. One month later, this patient gained an excellent recovery with a Glasgow Outcome Scale (GOS) score of 5.
