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A Journal on Neurosurgery

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Journal of Neurosurgical Sciences 2015 Sep 16

language: English

Clinical experience: individual surgical therapy of hypertensive basal ganglia hemorrhage

Lu T. S. 1, An C. L. 2, Guan J. Y. 1

1 Department of Neurosurgery, the General Hospital of Shenyang Military, Shenyang, China;
2 College of Basic Medical Science, China Medical University, Shenyang, China


OBJECTIVE: To summarize the clinical experiences of different surgical therapies for hypertensive basal ganglia hemorrhage (HBGH) patients.
METHODS: A series of 87 patients with HBGH who had received surgical therapy individually were enrolled in this study. The surgical therapies were stereotactic aspiration (SA), stereotactic aspiration plus fibrinolytic therapy (SA+F) and microsurgery with small bone window (MS), respectively. The outcomes of the patients were evaluated by evolution of hematoma evacuation, activities of daily living (ADL) scale, mortality and complications.
RESULTS: We found that there was no significant difference in the 24-hour evacuation rate, mortality and complication rate among treated groups (P>0.05). Though patients in level III and level IV of ADL scores were significantly different among the three groups, the overall ADL scale result demonstrated a similar ADL result.
CONCLUSION: The patient with HBGH should be treated with individualized surgical approach according to patient’s condition and CT morphology of the hematoma.

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