ABSTRACT
Objective To summarize the clinical experience of microsurgical treatment via small bone flap craniotomy through lateral fissure approach for hypertensive basal ganglia hemorrhage during ultra-early period.Methods A total of 33 patients with hypertensive basal ganglia hemorrhage were given microsurgical treatment within 6 hours after stroke.The operation was performed under small bone flap craniotomy through lateral fissure and insular lobe approach.The hematoma was cleaned under microscope for decompression,and no drainage was used.The high blood pressure was strictly controlled after operation.Clinical records were analyzed retrospectively.Results Postoperative CT examination showed the hematoma cleaning rate over 95%.Complicated pneumonia occurred in 2 patients.Follow-up assessment according to the Glasgow Outcome Scale(GOS) for 3 months revealed good recovery in 23 patients and moderate disability in 10 patients.Conclusions Microsurgical treatment via small bone flap craniotomy through lateral fissure approach for hypertensive basal ganglia hemorrhage during ultra-early period has advantages of little invasion,thorough removal of lesion,low incidence of complications and disability,and fast functional recovery.