Paramedian Suboccipital Mini-Craniectomy for Evacuation of Spontaneous Cerebellar Hemorrhage
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概要
- 論文の詳細を見る
Patients with spontaneous cerebellar hemorrhage are usually treated by large suboccipital craniectomy for hematoma evacuation or by computed tomography-guided stereotactic aspiration of the hematoma. The present study evaluated the outcome and complications in 25 patients with spontaneous cerebellar hemorrhage treated by paramedian suboccipital mini-craniectomy and 21 patients treated by large suboccipital craniectomy. There were no significant differences between the two groups with respect to age, clinical grade, hematoma volume, hematoma location, hydrocephalus, and mean interval from admission to operation. There was also no significant difference in postoperative outcome between the two groups. However, patients treated by paramedian suboccipital mini-craniectomy were less likely to require blood transfusion, had a shorter operating time, and had less postoperative liquorrhea compared with those undergoing extensive suboccipital craniectomy. Paramedian suboccipital mini-craniectomy is a simple and effective method for hematoma evacuation that causes fewer complications.
- 日本脳神経外科学会の論文
- 2004-11-15
著者
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NODE Yoji
Departments of Neurosurgery, Nippon Medical School
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TERAMOTO Akira
Departments of Neurosurgery, Nippon Medical School
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Teramoto Akira
Department Of Neurosurgery Nippon Medical School
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KITAMURA Takayuki
Department of Mechanical Engineering and Science, Kyoto University
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TAMAKI Tomonori
Department of Neurosurgery, Nippon Medical School Tama Nagayama Hospital
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Kitamura Takayuki
Department Of Neurosurgery Nippon Medical School
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Kitamura Takayuki
Department Of Engineering Physics And Mechanics Kyoto University
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Zhang Rong
Department Of Biochemistry Saga Medical School
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Zhou Liang
Department Of Chemistry And Shanghai Key Laboratory Of Molecular Catalysis And Innovative Materials
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Node Yoji
Department Of Neurosurgery Nippon Medical School Tama Nagayama Hospital
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Tamaki Tomonori
Department Of Neurosurgery Nippon Medical School Tama Nagayama Hospital
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Tamaki Tomonori
Department Of Neurosurgery Nippon Medical School
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Kitamura Takayuki
Department Of Economics Kanagawa University
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Teramoto Akira
Department Of Functional Polymer Science Shinshu University
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Kitamura Takayuki
Department Of Anesthesia And Pain Relief Center The University Of Tokyo Hospital
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Firsching Raimund
Klinik Fur Neurochirurgie Der Otto-von-guericke-universitat
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