Document Detail


Application of neuroendoscopy in the treatment of intraventricular hemorrhage.
MedLine Citation:
PMID:  17519550     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Spontaneous intraventricular hemorrhage is an infrequent but severe complication of hemorrhagic stroke. The conventional treatment of intraventricular hemorrhage consists of ventricular drainage or surgical evacuation, but neither of them is encouraged. The objective of this article is to compare different surgical procedures in order to evaluate a method of minimally invasive treatment for intraventricular hemorrhage. METHODS: Neuroendoscopy was applied to treat 22 cases of intraventricular hemorrhage. Twenty cases of the same disease that were treated by external ventricular drainage were taken as a control and comparison. RESULTS: All patients were followed up for 2 months. In the neuroendoscopy group, according to the Glasgow outcome scale, the result was excellent in 5 cases, good in 9, fair in 4, poor in 2 and death in 2. In the external ventricular drainage group, the result was excellent in 1 case, good in 5, fair in 7, poor in 5 and death in 2. More patients in the neuroendoscopy group showed good recovery after 2 months of surgery (p < 0.05). The difference in mortality rate between the 2 groups was not statistically significant (p > 0.05). CONCLUSIONS: Neuroendoscopic neurosurgery for intraventricular hemorrhage offers better surgical treatment because it is characterized by visualized manipulation, effective hemorrhage evacuation and excellent postoperative outcomes.
Authors:
Zaiqiang Zhang; Xingang Li; Yuguang Liu; Yi Shao; Shujun Xu; Yang Yang
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2007-05-23
Journal Detail:
Title:  Cerebrovascular diseases (Basel, Switzerland)     Volume:  24     ISSN:  1015-9770     ISO Abbreviation:  Cerebrovasc. Dis.     Publication Date:  2007  
Date Detail:
Created Date:  2007-07-13     Completed Date:  2007-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9100851     Medline TA:  Cerebrovasc Dis     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  91-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cerebral Ventricles / surgery*
Cerebral Ventriculography / methods
Drainage* / adverse effects
Female
Glasgow Outcome Scale
Hematoma / etiology*,  radiography,  surgery
Humans
Intracranial Hemorrhages / complications,  mortality,  radiography,  surgery*
Male
Middle Aged
Neuroendoscopy* / adverse effects
Prospective Studies
Tomography, X-Ray Computed
Treatment Outcome
Ventriculostomy* / adverse effects

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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