RESUMEN
Urokinase use after stereotaxic evacuation of hematoma became a popular method in treatment of hypertensive intracerebral hematoma. We obtained excellent result in evacuaIon of the hematoma which was remained after stereotaxic evacuation or direct approach for 24 raumatic intracerebral hematoma cases. And we found several advantages in this method compared with standard treatment modalities. We think that this is a new, effective treatment method for traumatic intracerebral hematoma.
Asunto(s)
Hematoma , Activador de Plasminógeno de Tipo UroquinasaRESUMEN
The spontaneous spinal epidural hematoma has a rare occurrence. Recently the authors have experienced a case of chronic spontaneous thoracic epidural hematoma in a 26 year old woman. She presented with Lt. scapular and upper thoracic pain, paraparesis and acute voiding difficulty during pregnancy and postpartum period. The thoracic myelography with niopam was performed by lumbar tap and C1-2 tap. Resoluted spinal epidural hematoma was removed with nearly complete recovery after 5 weeks. There was no trauma history but Lt. scapular and upper thoracic pain had been developed during previous pregnancy about 3 years ago. We present that this case may be related with pregnancy and delivery.
Asunto(s)
Adulto , Femenino , Humanos , Embarazo , Hematoma , Hematoma Espinal Epidural , Yopamidol , Mielografía , Paraparesia , Periodo PospartoRESUMEN
An analysis and CT findings in 21 adult patients of spontaneous intracerebral hematoma(SICH) mixed with CSF who were admitted to the Fatima Hospital from December 1986 to May 1989. The following results were obtained; 1) We could differentiated SICH that have inhomogenous density and thought that it is composed of blood, CSF and blood-CSF mixture. 2) Previously reported pathways that intracerebral hematoma rupture into the ventricle are caudate nucleus and thalamus but intracerebral hematoma can be mixed with CSF through the subarachnoid space of Sylvian fissure as an another route. 3) Intracerebral hematoma mixed with CSF was removed easily, safely and enoughly with simple aspiration method as like resoluted hematoma in subacute or chronic phase. 4) The prognosis of patients with SICH mixed with CSF was very good unlike to that of patients with pure intracerebral hematoma and/or ventricular hemorrhage.
Asunto(s)
Adulto , Humanos , Núcleo Caudado , Hematoma , Hemorragia , Pronóstico , Rotura , Espacio Subaracnoideo , TálamoRESUMEN
A case of ganglioneuroma of the cerebellum is reported in 31-year-old woman. The clinical features were dull headache, dizziness, nausea and gait disturabance. Computerized tomography revealed a nonenhancing mass lesion surrounded by focal area of calcification. Subtotal resection and vetriculoperitoneal shunt were effective in this case.
Asunto(s)
Adulto , Femenino , Humanos , Cerebelo , Mareo , Marcha , Ganglioneuroma , Cefalea , NáuseaRESUMEN
The biopsy and cyst aspiration of central nervous lesions by computerized tomography(CT) scan has become a popular method. Authors can simply make a needle placement in deep intracranial hematomas, brain abscesses and cystic tumors by using U-loop with CT guided external markers. Our method is believed to deserve reporting in that it is easy, safe and less expensive.