高血圧性脳出血の手術適応

概要

論文の詳細を見る
At 6 months after surgery, indication for surgery in hypertensive intracerebral hemorrhage was investigated from the activities of daily living (ADL) in 72 patients.<BR>In the series, 68%of the patients in grade II, 60% of the patients in grade III, and 50% of the patients in grade IV in our neurological classification showed satisfactory result in ADL at 6 months after surgery. The majority of these patients who showed good results had the lateral type of hematoma. The patients who showed satisfactory results at 6 months after surgery were considered to have had indication for surgery.<BR>Examinations of autopsied brains revealed that the ventricular hemorrhage associated with intracerebral hematoma was commonly found even in brains having the lateral type of hematomas. This findings may suggest that the ventricular hemorrhage will effect the operative results.
The Japanese Society on Surgery for Cerebral Strokeの論文