1. Evacuating Hypertensive Intracerebral Hematoma with a Cortical Sulcus Approach.
- Author
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Gao Z, Qian L, Niu C, Chen B, Guo H, Sun P, Wang Y, Ning L, Li Q, and Fu X
- Subjects
- Adult, Aged, Basal Ganglia diagnostic imaging, Cerebral Cortex diagnostic imaging, Female, Follow-Up Studies, Humans, Hypertension diagnostic imaging, Intracranial Hemorrhage, Hypertensive diagnostic imaging, Male, Middle Aged, Postoperative Complications diagnostic imaging, Postoperative Complications prevention & control, Prefrontal Cortex diagnostic imaging, Prefrontal Cortex surgery, Retrospective Studies, Seizures diagnostic imaging, Seizures prevention & control, Basal Ganglia surgery, Cerebral Cortex surgery, Hypertension surgery, Intracranial Hemorrhage, Hypertensive surgery, Neurosurgical Procedures methods
- Abstract
Objective: To study the curative effect and prognosis of patients with basal ganglia cerebral hemorrhages treated using a transcortical-sulcus approach and compare with results obtained using the traditional cerebral cortex approach., Methods: Clinical data were collected from 106 patients with hypertensive hemorrhage in the basal ganglia who were treated using either a transcortical-sulcus approach or traditional cerebral cortex approach. The rate of rehemorrhage, incidence of epilepsy, and 3-month efficacy (defined by an activities of daily living score) rate between the 2 groups were compared., Results: The 3-month efficacy rates of patients treated using the transcortical-sulcus and traditional cerebral cortex surgical approaches were 78.4% and 60%, respectively (P < 0.05). The incidence of epilepsy was lower in the transcortical-sulcus approach group compared with the traditional approach group, and significant differences were detected between the 2 groups (P < 0.05)., Conclusions: The transcortical-sulcus approach can significantly improve the prognosis of patients with intracerebral hemorrhages in the basal ganglia and reduce the incidence of postoperative seizures., (Copyright © 2016 Elsevier Inc. All rights reserved.)
- Published
- 2016
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