Document Detail


The effect of hematoma removal for reducing the development of brain edema in cases of putaminal hemorrhage.
MedLine Citation:
PMID:  16671429     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Surgical intervention in putaminal hemorrhage has been a controversial issue. The aim of this research is to evaluate the benefits of surgery for reducing the development of brain edema. MATERIALS AND METHODS: Sixteen cases of putaminal hemorrhage were examined. Eight patients were treated conservatively (C group), and the other 8 patients were treated surgically (S group). Head CT scans were performed on the day of onset (day 0) in C group or performed just after surgery (day 0) in S group, and performed again once per period on days 1-7, 8-14, and 15-21. The volume of the mass including hematoma and edema (H + E) was measured using CT scans and the (H + E)/H0 ratios were calculated (H0; hematoma volume on day 0). The (H + E)/H0 ratios for each period were compared statistically between the 2 groups using a t-test. RESULTS: The mean values of(H + E)/H0 ratios at each period were 2.19, 2.63, 2.53 in C group, and 1.29, 1.29, 0.66 in S group. The values in S group were significantly lower as compared with C group in every period (p < 0.01, < 0.05, < 0.01). CONCLUSIONS: Hematoma volume reduction by surgery reduced the development of brain edema.
Authors:
M Okuda; R Suzuki; M Moriya; M Fujimoto; C W Chang; T Fujimoto
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Acta neurochirurgica. Supplement     Volume:  96     ISSN:  0065-1419     ISO Abbreviation:  Acta Neurochir. Suppl.     Publication Date:  2006  
Date Detail:
Created Date:  2006-05-04     Completed Date:  2006-06-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100962752     Medline TA:  Acta Neurochir Suppl     Country:  Austria    
Other Details:
Languages:  eng     Pagination:  74-7     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Showa University Fujigaoka Hospital, Yokohama, Japan. muneo.okuda@nifty.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Brain Edema / etiology,  prevention & control*,  radiography
Female
Humans
Male
Middle Aged
Outcome Assessment (Health Care)
Prognosis
Putaminal Hemorrhage / complications,  radiography,  surgery*
Treatment Outcome

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