The Treatment of Severe Intraventricular Hematoma through Midfrontal Keyhole Approach
10.3969/j.issn.0253-9896.2014.02.024
- VernacularTitle:微骨瓣额中回入路治疗重型脑室出血
- Author:
Yonghua CUI
;
Yongben XIA
;
Liyong ZHANG
;
Qing HAN
;
Henglin CHEN
- Publication Type:Journal Article
- Keywords:
cerebral hemorrhage;
cerebral ventricles;
microsurgery;
forehead;
hematoma;
drainage
- From:
Tianjin Medical Journal
2014;(2):179-181
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical value of midfrontal keyhole approach for the treatment of severe intra-ventricular hematoma. Methods The clinical data of 21 cases of severe intraventricular hemorrhage through midfrontal key-hole approach were analyzed retrospectively. Results Both inside and outside intraventricular hematoma were satisfied cleared. The GCS score and intraventricular hemorrhage Graeb score were improved. There were complications after opera-tion including 1 patient with diffuse brain swelling, 3 patients with cerebral vasospasm, 1 patient with intracranial infection, and seven patients with pulmonary infection. Follow-up schedules included 1-6 months. According to ADL score, 5 patients recovered well, 9 patients were moderately disabled, 3 were severely disabled, 1 was in a vegetative state and 3 died. Conclu-sion The intraventricular hematoma can be removed through midfrontal keyhole approach. The obstructive hydrocephalus can be relieved, the secondary brain damage was reduced and the prognosis was improved in patients.
