|
KMID : 0359819950240020165
|
|
Journal of Korean Neurosurgical Society
1995 Volume.24 No. 2 p.165 ~ p.173
|
|
|
Steretoactic Aspiration of HICH by CT-Guided U-Loop and Leksell System
|
|
|
|
|
Abstract
|
|
|
We reviewed 178 patients with hypertensive intracerebral hematoma (HICH). which were treated with computed tomography (CT) guided stereotactic aspiration from Aug. 1986 to Dec. 193 (166 CT gruided U-loop and 12 Leksell system). Our series
consisted
of
82 males and 96 females. The hemorrhages were located in putamen in 67.4%. thalamus in 20.2%. subcortex in 9% and cerebellum in 3.4%. Mean removal rate of hematoma was 55.3%. The results for the 178 cases who underwent stereotactic aspiration
were
good
recovery in 45.5%. moderate disability in 28.0%. severe disability in 9.0% and vegetative state in 40%. The infection rate and rebleeding rate of all cases were 1.7% and 6.8% respectively. The mortality rate of all cases was 13.5%. We analysed
the
factors affecting the prognosis in 178 patients. Factors affecting good prognosis were high initial GCS. less amount of initial hematoma and no presence of intraventricular hemorrhage. Stereotactic aspiration by CT-guided U-loop and Leksell
system
is
simple. safe and can minimize the brain damage. This method can be performed under local anesthesia.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
 
|