Endoscopic evacuation of spontaneous supratentorial intracerebral hemorrhage
Rev. chil. neurocir
;
42(1): 19-23, jul. 2016. ilus, tab, graf
Artigo
em Inglês
| LILACS
| ID: biblio-869748
ABSTRACT
Introduction: Spontaneous intracerebral hemorrhage (SICH) constitutes a major public health problem worldwide, despite active research it is still a leading cause of morbidity, disability, and death. In Cuba cerebrovascular disease represents the 3rd cause of death and in the last decade, the number of deaths for this cause has increased and the mortality rate is about 41/100,000/year. Method: We have carried out a descriptive study of 14 patients admitted in the intensive care unit of Moron General Hospital in Ciego de Avila, Cuba, with diagnosis of Spontaneous Supratentorial Intracerebral Hemorrhage (SSICH), who were treated with endoscopic surgical evacuation in the period from January of 2013 to December of 2014. Results: All patients underwent surgery within 12 hours of ictus and 10 (71.43 percent) underwent surgery within 6 hours. The mean time from SSICH onset to surgery was 7.6 hours. The mean operative time was 90 minutes. Endoscopy was successfully completed in all cases and the hematoma evacuation rate was 97 percent- 100 percent in all patients. The mortality rate was 5 patients (35.71 percent). Six months after clot endoscopic evacuation, six cases (42.86 percent) had poor results (Grade IV-VI) and 8 (57.14 percent) had goodrecovery (Grade 0-III). Conclusions: Early endoscope-assisted SSICH evacuation is safe, effective and feasible method in hematoma evacuation.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Hemorragia Cerebral
/
Endoscopia
/
Hematoma
Tipo de estudo:
Estudos de avaliação
Limite:
Humanos
País/Região como assunto:
Caribe
/
Cuba
Idioma:
Inglês
Revista:
Rev. chil. neurocir
Assunto da revista:
Neurocirurgia
Ano de publicação:
2016
Tipo de documento:
Artigo
País de afiliação:
Cuba
Instituição/País de afiliação:
Moron General Hospital/CU
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