Stereotactic Hematoma Removal of Spontaneous Intracerebral Hemorrhage through Parietal Approach
Journal of Korean Neurosurgical Society
; : 373-378, 2015.
Artículo
en Inglés
| WPRIM (Pacífico Occidental)
| ID: wpr-183091
Biblioteca responsable:
WPRO
ABSTRACT
OBJECTIVE:
To determine the advantages of parietal approach compared to Kocher's point approach for spontaneous, oval-shaped intracerebral hemorrhage (ICH) with expansion to the parietal region.METHODS:
We divided patients into two groups group A had burr holes in the parietal bone and group B had burr holes at Kocher's point. The hematoma volume, Glasgow coma scale (GCS) score, and modified Barthel Index (mBI) score were calculated. At discharge, we evaluated the patients' Glasgow outcome scale (GOS) score, modified Rankin Scale (mRS) score, motor grade, and hospitalization duration. We evaluated the patients' mBI scores and motor grades at 6 months after surgery.RESULTS:
The hematoma volume in group A was significantly less than that in group B on postoperative days 1, 3, 5, 7, 14, and 21. Group A had significantly higher GCS scores than did group B on postoperative days 1 and 3. Group A had higher mBI scores postoperatively than did group B, but the scores were not significantly different. No differences were observed for the GOS score, mRS score, motor grade at discharge, or duration of hospitalization. The mBI score of group A at 6 months after surgery was significantly higher, and more patients in group A showed muscle strength improvement.CONCLUSION:
In oval-shaped ICH with expansion to the parietal region, the parietal approach is considered to improve the clinical symptoms at the acute phase by removing the hematoma more effectively in the early stages. The parietal approach might help promote the long-term recovery of motor power.
Texto completo:
Disponible
Base de datos:
WPRIM (Pacífico Occidental)
Asunto principal:
Hueso Parietal
/
Escala de Coma de Glasgow
/
Hemorragia Cerebral
/
Escala de Consecuencias de Glasgow
/
Fuerza Muscular
/
Rabeprazol
/
Hematoma
/
Hospitalización
Límite:
Humanos
Idioma:
Inglés
Revista:
Journal of Korean Neurosurgical Society
Año:
2015
Tipo del documento:
Artículo