Microsurgical treatment of hypertensive basal ganglia hemorrhage via lateral fissure approach

VernacularTitle:小骨窗外侧裂人路显微手术治疗高血压基底节区脑出血
Author: Jun ZHAO ; Zhiqiang LI ; Jing WANG ; Shengkui YUE
Publication Type:Journal Article
Keywords: Hypertensive cerebral hemorrhage; Craniotomy with small bone window; Lateral fissure approach; Microsurgical operation
From: Clinical Medicine of China 2012;28(5):515-516
CountryChina
Language:Chinese
Abstract: Objective To study the clinical effect of microsurgical treatment via lateral fissure approach on hypertensive basal ganglia hemorrhage.Methods Small bone flap via lateral fissure approach were applied to remove basal ganglia hematoma.Thirty two cases were recruited in the retrospective analysis.Results By head CT scan follow-up 24 h post operation,over 80％ percent of hematoma was successfully removed in 28 cases and over 40％ of hematoma was resided in 4 case.Patients were followed up for 3 - 6 months,according to the ADL (ADL)classification,the outcomes were:Grade Ⅰ in 4 cases( 12.5％ ),grade Ⅱ in 13 cases(40.6％ ),grade Ⅲ in 12 cases (37.5％)and grade Ⅳ in 3 cases (9.4％).No death occurred.Conclusion Small window approach on lateral fissure for microsurgical operation of hypertensive basal ganglia hemorrhage is a less invasive procedure with good surgical exposure and homeostasis.Neurological function was well recovered after surgery.