STEREOTAXIC ASPIRATION OF THALAMIC HEMATOMA - OVERALL RESULTS OF 75 ASPIRATED AND 70 NONASPIRATED CASES

被引:17
作者
NIIZUMA, H [1 ]
YONEMITSU, T [1 ]
JOKURA, H [1 ]
NAKASATO, N [1 ]
SUZUKI, J [1 ]
YOSHIMOTO, T [1 ]
机构
[1] TOHOKU UNIV, SCH MED, INST BRAIN DIS, DIV NEUROSURG, SENDAI, MIYAGI 980, JAPAN
关键词
Computed tomography; Stereotactic surgery; Thalamic hematoma;
D O I
10.1159/000100249
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
Among 145 cases of spontaneous thalamic hemorrhage, stereotactic aspiration of the hematoma was done in 75 cases in which the hematoma was greater than 6 ml and the limbs on the affected side could not be elevated. Thirty-one of 40 operated cases with a long axis greater than 3.3 cm were capable of returning to useful activity 6 months postoperatively (excellent to fair). The results 6 months from onset in the 145 cases were as follows: 43% excellent or good, 32% fair, 11% poor and 13% dead. These results appear to indicate that stereotactic aspiration can produce improvements in therapeutic results for cases of thalamic hemorrhage. © 1990 S. Karger AG, Basel.
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页码:438 / 444
页数:7
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