高血圧性脳内出血の手術適応:-EMI scanを中心に-

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Operative indication of hypertensive intracerebral hemorrhage (HICH), especially in the basal ganglial area, weve reported based on 93 cases (male; 63, female; 30). Its average of age was 57.8 years old.<BR>The first factor, the indication of surgery depending on, was the grade in acute stage, which was classified into four degrees based on the level of consciousness and into five degrees based on the neurological deficits. Those in the grade 0 and I in our grading had no necessity of surgery. To those in the grade II with deteriorating tendency, surgery should be performed. To those in the same grade with no deterioration, operation also should be performed in the view point of functional prognosis. Surgery should be carried out to the grade III in the view point of survival.<BR>The second factor was the amount of hematoma. The more hematoma one had, the worse grade he was situated in. Cases of Putaminal Hemorrhage, who had more than 50 ml of hematoma in amount, surgery should be performed. It was the same to cases of Thalamic Hemorrhage with the hematoma of more than 20ml.<BR>Then, we indicated new morphological classification of HICH, based on the findings of EMI scanner, and stated that the classification was useful for deciding the operative indication in HICH, because of its inclusion of these two factors.<BR>And more, we referred to the relationship between the time untill operation and the prognosis, difference of prognosis between Putaminal Hemorrhage and Thalamic Hemorrhage, cases of HICH with intraventricular hemorrhage, estimation of amount of hematoma by EMI-photograph and so on.
The Japanese Society on Surgery for Cerebral Strokeの論文

高血圧性脳内出血の手術適応:-EMI scanを中心に-

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