Trans-sylvian approachによる高血圧性脳内出血手術例の遠隔成績

概要

論文の詳細を見る
In 1972, we reported in the Japanese Journal of Surgery a new method, the trans-sylvian approach by which the hematoma can be evacuated with minimal or without brain damage.<BR>Since then, we have experienced 52 cases operated upon by this trans-sylvian approach. This paper reported the details of surgical techniques, follow up studies and postoperative course of foot paresis.<BR>The follow up studies were carried out in 51 cases for a period of 6 months to 4 years and 7 months. During this period 3 cases died. Four out of 48 the remaining cases could not walk due to sever rigidity of the extrimities, but their consciousness were clear. Fifteen cases required some assistances to live, though they could walk by themselves. Patients over 60 years old showed a tendency of poor improvement in follow-up studies.<BR>The other 29 cases were in excellent state and capable of self care. Some of them have even returned to their original occupations.
The Japanese Society on Surgery for Cerebral Strokeの論文