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KMID : 0359819960250040846
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Journal of Korean Neurosurgical Society
1996 Volume.25 No. 4 p.846 ~ p.850
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Correlation between Motor Disturbance and Involvement of the Internal Copsule in Hypertensive Intracerebral Hemorrhage
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안재근
성우현/김문찬/강준기/최창락
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Abstract
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The treatment of patients with hypertensive intracerebral hemorrhage(ICH) is still controversial. Fifty-two cases with hypertensive thalamic or putaminal hemorrhage were classified into three groups on the basis of the location of the hematoma in
the
internal capsule on the CT image. All the cases were confined to the anterior (Type A 17 cases). Posterior (Type P. 25 cases) and mixed portion (Type M. 10 cases) of the posterior limb of the internal capsule. And were assigned to receive medical
treatment. Extraventricular drainage (EVD). Or stereotactic aspiration using urokinase.
This study was designed to asses the correlation between hematoma extension and the severity of motor disturbance in patients treated with stereotactic aspiration.
The severity of motor weakness was found not to be related to hematoma extension but the prognosis was frequently poor in type P and type M. The outcome was better in the stereotactic aspiration group as compared with medical and EVD groups.
Especially
when the hematoma was located at the posterior portion of the posterior limb of the internal capsule (p<0.05).
The study suggests that stereotactic aspiration may improve the outcome of hypertensive ICH with severe motor weakness. Even if the hematoma is small.
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