Stereotaxic Evacuation of Brain Stem Hemorrhage.
- Author:
Sam Kyu KO
1
;
Yong Chul CHI
;
Chung Bae MOON
;
Byung Yearn CHOI
;
Soo Ho CHO
Author Information
1. Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Brain stem hemorrhage;
Suboccipital craniectomy;
Stereotaxic aspiration;
Cryptic vascular malformation;
Urokinase;
Brown-Roberts-Wells system
- MeSH:
Anesthesia, Local;
Brain Stem*;
Brain*;
Catheters;
Glasgow Coma Scale;
Hematoma;
Hemorrhage*;
Hydrocephalus;
Mortality;
Prognosis;
Urokinase-Type Plasminogen Activator
- From:Journal of Korean Neurosurgical Society
1986;15(2):245-256
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Usually cases of brain stem hemorrhage reveal high mortality and poor prognosis in spite of meticulous medical or surgical treatment. Recently we experienced stereotaxic evacuation of brain stem hemorrhage with Brown-Robert-Wells(B.R.W.) system in four cases. If there were residual hemorrhage after initial aspiration, those were evacuated with Urokinase irrigation via stereotaxically placed catheter in the hematoma. The entry point of our operation get on the crossing point of midpupillary line and 1cm behind coronal structure. Preliminary results : 1) Volume of removed hematoma : 5ml(average). 2) Dates of urokinase irrigation : 2 to 4 days after operation. 3) No hydrocephalus, no surgical mortality. 4) Average Glasgow coma scale was improved from 6 in preoperative state to 12 in postoperative state. 5) Operation was performed within 24 hours. 6) Advantages of our procedure. (1) Accurate, simple and safe. (2) Under local anesthesia. (3) Less traumatic procedure. (4) Could remove hematoma completely with Urokinase.
