小脳出血の外科的治療:-血腫局在及び長期追跡例の検討から-

概要

論文の詳細を見る
We analyzed clinical data of 21 patients with cerebellar hemorrhage, which was evidenced by operation, autopsy or computed transaxial tomography (CTT). Most striking features at the onset are headache, vertigo and vomiting. At 3 hours after onset, only 18% of patients with cerebellar hemorrhage revealed comatose state. 1) Conservatively treated cases Nine patients were conservatively treated; 8 patients died and only one patient who showed small hematoma in the right cerebellar hemisphere evidenced by CTT is still alive and well. Autopsy was performed in 6 patients. Hematoma seated mainly in the vermis in 2 patients, in the hemisphere in 4 patients. Rupture into 4th ventricle was observed in all cases. 2) Surgically treated cases Evacuation of hematoma was performed in 12 patients. Five patients died in hospital. Three patients who were operated in alert or somnolent state, showed excellent result. Average amount of hematoma was 8 ml. One of them was 64 year-old-female. She could not walk because of severe headache, vertigo and vomiting inspite of her alert consciousnesse. Evacuation of hematoma (10 ml) was done 30 days after onset, and on the 30th operative day, she discharged on foot with slight limb ataxia. We conclude that operative indication depends chiefly on the state of patient's consciousness, namely, patients of stuporous state has to be treated surgically as soon as possible. Furthermore, evacuation of hematoma is recommended in patients who suffers from severe headache, vertigo and vomiting even if his consciousness is alert.
The Japanese Society on Surgery for Cerebral Strokeの論文

小脳出血の外科的治療:-血腫局在及び長期追跡例の検討から-

スポンサーリンク

概要

著者

関連論文

スポンサーリンク