高血圧性脳出血軽症例の手術適応

概要

論文の詳細を見る
The level of consciousness in a patient with mild hypertensive intracerebral hemorrhage is usually alert or somnolent. In such a patient, surgical treatment is still a matter of discussion. By reviewing retrospectively 113 patients with hypertensive intracerebral hemorrhage treated surgically in the Department of Neurosurgery at Iwate Medical University Hospital, we studied the proper treatment for mild cases of the disease.<BR>Our conclusion is that, as a rule, mild cases should be treated conservatively. However, in the following cases, the surgical treatment should be indicated;<BR>1. Patients showing progressive neurological deficits within 24 hours following the ictus.<BR>2. Patients becoming somnolent from clear consciosness within 3 hours following the ictus.<BR>3. Patients showing mass signs in angiograms or CT-scans.
The Japanese Society on Surgery for Cerebral Strokeの論文