被殼出血重症例のCT所見と手術効果

概要

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An analysis has been made in 51 patients with putaminal hemorrhage diagnosed by computed tomography (CT) within 24 hours after the onset and of the first brain damage. Thirty eight patients were treated conservatively and 13 patients underwent the removal of hematoma. The size of hematoma was grossly classified in three grades; large, medium and small, according to the medial extension of the hematoma on CT findings. In the cases of large hematoma, all of 18 patients conservatively treated died, and 5 of 8 patients surgically treated remained alive but without useful survival. There was no acute death in the cases of medium size of hematoma treated conservatively and surgically, and no significant difference was found in the ADL after 3 months of onset between the two groups. All of the cases of small hematoma were treated conservatively and recovered satisfactory. Consequently, the surgical treatment for the large putaminal hemorrhage benefits in the aspect of saving life, but it may not bring useful survival generally.