Clinical analysis of Stereotactic Aspiration in Basal Ganglia Hematoma.
- Author:
Won Oe LEE
1
;
Dong June PARK
;
Geun Sung SONG
;
Chang Hwa CHOI
;
Byoung Jo JANG
;
Young Woo LEE
Author Information
1. Department of Neurosurgery, College of Medicine, Pusan National University, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Spontaneous intracerebral hematoma;
Basal ganglia;
CT-guided stereotactic aspiration;
Urokinase irrigation
- MeSH:
Basal Ganglia*;
Busan;
Catheters;
Hematoma*;
Humans;
Postoperative Complications;
Rupture;
Urokinase-Type Plasminogen Activator;
Weights and Measures
- From:Journal of Korean Neurosurgical Society
1994;23(1):72-80
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We analyzed 54 cases of spontaneous intracerebral hematoma in the basal ganglia who had been admitted to Pusan National Hospital from June, 1991 to December, 1992 and underwent CT-guided stereotactic aspiration. Fifity four cases had basal ganglia hematoma with or without ventricular rupture. In 12 cases out of them, the residual hematoma could be completely evacuated by urokinase irrigation through a catheter introduced into the cavity of hematoma. Patients with preoperatively poor neurologic condition, large or deep-seated hematoma, or the operation undergone before 6 hours from ictus, had worse outcome. In the case whose hematoma was removed more than 60%, Glasgow Outome Scales were not changed significantly. Patients of spontaneous intracerebral hematoma mostly are older age, so careful observation and medical treatment are required to prevent postoperative complications and improve general condition.
