| Results of stereotactic aspiration in 175 cases of putaminal hemorrhage. | |
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MedLine Citation:
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PMID: 2664544 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Believing that improved therapeutic results in cases of intracerebral hematoma might be obtained by minimal invasion of the brain, we used computed tomographic-guided stereotactic aspiration in 175 of 241 patients with putaminal hemorrhage. These patients, who were treated 6 or more hours after onset, had hematomas larger than 8 ml and were unable to raise an arm and/or leg on the affected side. Craniotomy was performed in 15 other patients, most of whom were brought to the hospital with large hematomas within 6 hours of onset. The remaining patients either had mild deficits of consciousness (33 patients) or severe deficits and/or were elderly (18 patients) and were treated conservatively. Thirteen patients (7.4%) showed rebleeding after stereotactic aspiration (6 instances of major and 7 instances of minor rebleeding). Craniotomy and removal of the hematoma were required in three of these patients. Aspiration should be avoided in patients who have a tendency for bleeding, even if mild, because rebleeding occurred in 6 of 23 such patients (26%) in these study. The consciousness level improved in 66 patients (38%), was unchanged in 103 patients (59%), and was worse in 6 patients (3%) 1 week postoperatively. Motor function of the arm improved in 55 patients (31%) and was worse in 23 patients (14%). Six months after surgery, the results for the 175 patients who underwent stereotactic aspiration were: 19% excellent, 32% good, 35% fair, 7% poor, 6% dead, and 1% unknown. For the entire series of 241 patients, the results were: 24% excellent, 26% good, 31% fair, 7% poor, 11% dead, and 1% unknown.(ABSTRACT TRUNCATED AT 250 WORDS) |
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Authors:
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H Niizuma; Y Shimizu; T Yonemitsu; N Nakasato; J Suzuki |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Neurosurgery Volume: 24 ISSN: 0148-396X ISO Abbreviation: Neurosurgery Publication Date: 1989 Jun |
Date Detail:
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Created Date: 1989-08-14 Completed Date: 1989-08-14 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7802914 Medline TA: Neurosurgery Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 814-9 Citation Subset: IM |
Affiliation:
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Division of Neurosurgery, Tohoku University School of Medicine, Sendai, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Cerebral Hemorrhage / surgery* Craniotomy Follow-Up Studies Humans Middle Aged Postoperative Complications / etiology Putamen / surgery* Stereotaxic Techniques* Suction |
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