高血圧性脳出血の重症型に対する手術適応と手術時期:-被殻部出血症例について-

概要

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Evacuation of hematoma was performed in 16 cases of putaminal hemorrhage which showed semicomatose or comatose status preoperatively. Postoperative follow-up studies has been reviewed. We proposed surgical indication and timing for severe cases of putaminal hemorrhage according to our results.<BR>It is most important to think about if patient is able to spend useful life after surgery when we decide to treat or not to treat in case of severe putaminal hemorrhage.<BR>We concluded surgical indications and timing for severe cases as follows:<BR>1. Non-dominant side hemorrhage under 70 yrs old or dominant side hemorrhage under 60 yrs old for semicomatose patients.<BR>2. May be surgical if we can evacuate hematoma within 6 hours since onset of hemorrhage for nondominant side hemorrhage with retained oculocephalic response over 60 yrs old or dominant side hemorrhage without oculocephalic response under 60 yrs old for comatose patients.
The Japanese Society on Surgery for Cerebral Strokeの論文