| Application of neuroendoscopy in the treatment of intraventricular hemorrhage. | |
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MedLine Citation:
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PMID: 17519550 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Zaiqiang Zhang; Xingang Li; Yuguang Liu; Yi Shao; Shujun Xu; Yang Yang |
Publication Detail:
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Type: Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2007-05-23 |
Journal Detail:
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Title: Cerebrovascular diseases (Basel, Switzerland) Volume: 24 ISSN: 1015-9770 ISO Abbreviation: Cerebrovasc. Dis. Publication Date: 2007 |
Date Detail:
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Created Date: 2007-07-13 Completed Date: 2007-08-16 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9100851 Medline TA: Cerebrovasc Dis Country: Switzerland |
Other Details:
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Languages: eng Pagination: 91-6 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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