視床出血の外科治療:-脳室ドレナージの適応と方法を中心として-

概要

論文の詳細を見る
18 cases with thalamic hemorrhage have been experienced and six cases were treated surgically and twelve conservatively. Thalamic hemorrhage was classified into three types by CT scanner, such as A type (hematoma without ventricular hemorrhage), B type (hematoma ruptured into ipsilateral lateral ventricle) and C type (hematoma extended into bilateral lateral ventricles and IIIrd ventricle). In these types of patients, the effectiveness of surgical therapy-aspiration of intraventricular hematoma and/or bilateral continuous ventricular drainage-was discussed. As the results, in C type, the improvement of consciousness was remarkable in the surgical group, but in B type, no significant difference was recognized between surgical and non-surgical group and in A type, the prognosis was good without surgical intervention.<BR>Bilateral continuous ventricular drainage was effective to decrease acute intracranial hypertension and to improve the disturbance of consciousness.<BR>Our method of ventricular drainage and of aspiration of intraventricular hematoma shown. It is important to perform the ventricular drainage that the draining tubes should be inserted bilaterally into lateral ventricles from the tip of the frontal horns.
The Japanese Society on Surgery for Cerebral Strokeの論文