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Burr Hole Drainage with Urokinase Irrigation for the Treatment of Acute Subdural Hematoma: A Case Report / 대한신경손상학회지
Korean Journal of Neurotrauma ; : 142-145, 2018.
Artigo em Inglês | WPRIM | ID: wpr-717710
ABSTRACT
We describe the case of a patient with an acute subdural hematoma (SDH) that was removed using urokinase irrigation after burr hole trephination in a limited situation where craniotomy was not possible. A 90-year-old woman was admitted to our hospital with a stuporous mental status. Computed tomography (CT) scans revealed a chronic SDH, and a burr hole procedure was performed. The patient's postoperative progression was good until the third day after surgery when we found that the acute SDH had increased on CT scans. The patient's guardian refused further surgery, and thus we drained the blood from the hematoma by injecting urokinase through a drainage catheter. We used urokinase for two days, and removed the catheter after confirming via CT scans that the hematoma was almost alleviated. The patient recovered gradually; she was discharged with few neurological deficits.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Trepanação / Ativador de Plasminogênio Tipo Uroquinase / Tomografia Computadorizada por Raios X / Drenagem / Craniotomia / Hematoma Subdural Agudo / Estupor / Catéteres / Hematoma Limite: Idoso / Aged80 / Feminino / Humanos Idioma: Inglês Revista: Korean Journal of Neurotrauma Ano de publicação: 2018 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Trepanação / Ativador de Plasminogênio Tipo Uroquinase / Tomografia Computadorizada por Raios X / Drenagem / Craniotomia / Hematoma Subdural Agudo / Estupor / Catéteres / Hematoma Limite: Idoso / Aged80 / Feminino / Humanos Idioma: Inglês Revista: Korean Journal of Neurotrauma Ano de publicação: 2018 Tipo de documento: Artigo