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Journal of Neurosurgical Sciences 2018 April;62(2):140-5

DOI: 10.23736/S0390-5616.16.03383-X

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Clinical experience of individual surgical therapy in hypertensive basal ganglia hemorrhage

Tian-Shu LU 1, Chun-Li AN 2 , Jing-Yu GUAN 1

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


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BACKGROUND: The aim of this article is to summarize the clinical experience stemming from the administration of different surgical therapies in 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.
CONCLUSIONS: HBGH patients should be treated with an individualized surgical approach based on their condition and on the CT morphology of the hematoma.


KEY WORDS: Basal ganglia hemorrhage - Stereotaxic techniques - Fibrinolytic agents - Neurosurgical procedures - Microsurgery - Precision medicine

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