Treatment of hypertensive basal ganglia cerebral hemorrhage with different surgical approaches
10.3760/cma.j.issn.1671-7368.2018.02.015
- VernacularTitle:不同手术入路治疗高血压性基底节区脑出血的疗效观察
- Author:
Yonghua CUI
1
;
Yongben XIA
;
Zhengquan YU
;
Zhangming WANG
;
Xiaowen ZHU
;
Cheng ZHANG
Author Information
1. 南通大学附属建湖医院神经外科
- Keywords:
Intracerebral hemorrhage,hypertensive;
Basal ganglia;
Surgical approach
- From:
Chinese Journal of General Practitioners
2018;17(2):143-145
- CountryChina
- Language:Chinese
-
Abstract:
According to the locations of main hematomas,60 patients with hypertensive basal ganglia hemorrhage were surgically treated through different approaches from June 2014 to September 2017.Thirty six cases with anterior hematoma near the Sylvian point were treated through transsylvian-transinsular approach,24 cases with the posterior hematoma far from the Sylvian point were treated through translower-rolandic-point (transLRP) transinsular approach (n =11) or transsuperior-temporal-sulcus (transSTS) transinsular approach (n =13),respectively.All patients were followed up for at least 6 months and evaluated by Glasgow Outcome Scale.Fourteen patients showed good recovery,25 patients showed moderate disability,18 patients showed severe disability,one patients showed vegetative survival and two patients died.