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KMID : 0359819960250020373
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Journal of Korean Neurosurgical Society
1996 Volume.25 No. 2 p.373 ~ p.380
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The Management of Spontaneous Intracerebral Hemorrhage
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김태호
정신/이제혁/박종근/김재휴/김수한/강삼석
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Abstract
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The results of treatment for 248 patients with spontaneous intracerebral hemorrhage are described. Spontaneous intracerebral hemorrhages are classified into primary (215 patients) and secondary (33 patients) hemorrhages. Most of the secondary
hemorrhages were located in the subcortical area (64%). In the Non-treated group. eighty patients died immediately after diagnosis.
In the treated group. the overall mortality was 5% in primary hemorrhages and 15% in secondary hemorrhages. and the percentages of hypertensive intracerebral hemorrhage patients returning to full-time work or independent life without disability
or
with
minimal disability were 30T in putaminal hemorrhages. 86% in caudate hemorrhages. 44% in thalamic hemorrhages. 61% in subcortical hemorrhages. 78% in cerebellar hemorrhages and 40% in brainstem hemorrhages respectively This study showed that
surgical
treatment did not give better result over conservative treatment in the management of hypertensive supratentorial and brainstem hemorrhage. However hypertensive caudate and cerebellar hemorrhage were associated with favorable outcomes regardless
of
the
mode of therapy chosen. In severe hemorrhages. surgery may improve the length of survival. but the quality of life remains poor. The authors have shown again that aspiration surgery for hypertensive cerebellar hemorrhage is a valuable alternative
to
craniotomy.
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KEYWORD
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