Clinical Analysis of Stereotactic aspiration in the Management of Spontaneous Intracerebral Hemorrhage

ABSTRACT

The best treatment modality for spontaneous intracerebral hemorrhage is still controversial. But stereotactic surgery can minimize the brain damage and can be performed safely and simply under local anesthesia. The purpose of this study was to analyse and evaluate the therapeutic result of stereotactic aspiration of hematoma and urokinase irrigation in patients with spontaneous intracerebral hemorrhage. Consecutively, 33 cases of spontaneous intracerebral hemorrhage admitted to Chung Buk National University Hospital from May, 1991 to January, 1995 and underwent stereotactic aspiration and urokinase irrigation were analysed and evaluated by factors believed to affect the final results. The results of this analysis suggest that stereotactic aspiration and urokinase irrigation is safe and efficient in treating spontaneous intracerebral hemorrhage with similar outcome but lower mortality compared with traditional craniotomy ; and we can substitute traditional open craniotomy or conservative treatment for stereotactic aspiration combined with urokinase irrigation.