Open Surgical Evacuation of Spontaneous Putaminal Hematomas: Prognostic Factors and Comparison of Outcomes between Transsylvian and Transcortical Approaches

Shin, Dong-Seong; Yoon, Seok-Mann; Kim, Sung-Ho; Shim, Jai-Joon; Bae, Hack Gun; Yun, Il Gyu

doi:10.3340/jkns.2008.44.1.1

Cited by 16 publications

(10 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The endoscopic evacuation of ICHs has some disadvantages with respect to other surgical techniques: 1) Visualization is not occasionally adequate, especially when there is a hemorrhage during the procedure [40,41,[46][47][48][49][50]. 2) The restricted working space limits the maneuverability of the instruments and the control of a possible bleeding [48].…”

Section: Considerations About Results Of Endoscopic Evacuationmentioning

confidence: 99%

Evacuation of intracerebral hemorrhages by neuroendoscopy with transparent sheath. Experimental study

Otero-Rodríguez

Gonçalves

Sánchez-Ledesma

et al. 2015

Interdisciplinary Neurosurgery

View full text Add to dashboard Cite

Section: Considerations About Results Of Endoscopic Evacuationmentioning

confidence: 99%

Evacuation of intracerebral hemorrhages by neuroendoscopy with transparent sheath. Experimental study

Otero-Rodríguez

Gonçalves

Sánchez-Ledesma

et al. 2015

Interdisciplinary Neurosurgery

View full text Add to dashboard Cite

“…According to the different literatures putaminal bleed is the most common of all other hypertensive deep nuclear bleed which largely ties with our study. 10 Although some researchers stated that thalamic bleed is the commonest among all types of hypertensive deep nuclear bleed. Hypertension, hyperglycemia, smoking, alcoholism and coagulopathy increase the risk of ICH.…”

Section: Discussionmentioning

confidence: 99%

Microsurgical Approach to Hypertensive Deep Nuclear Bleed: Preliminary Experience and Short Term Outcome

et al. 2019

View full text Add to dashboard Cite

Efficacy of surgical evacuation of hypertensive deep nuclear bleed with or without decompressivecraniectomy remains controversial. Our paper mainly focuses on short-term preliminary experience on the evacuation of hypertensive deep nuclear bleed via transsylvian approach in reducing secondary brain injury for better neurological outcome. In between August 2012 to October 2013, 25surgically managed patients with hypertensive deep nuclear bleed were reviewed retrospectively. Among them, 13 cases underwent transsylvianevacuation of hematoma.84.6% were males. Age ranged between 38 to68 years with a mean age of 50.23 with standard deviation of 8.29 years. The size of hematoma measured in computed tomography scan ranged from 48 to 156 ml (mean 69 ml with standard deviation 38.28 ml). Nine hypertensive patients were taking medication on an irregular basis. The remaining had never taken antihypertensive agents before the ictus. 7/15 was the lowest Glasgow Coma Scale score and 13/15 was the highest score on arrival to the emergency room. Eight cases showed near-total evacuation of hematoma on repeated scan was taken after24 hours of surgery. One patient underwent transsylvian evacuation in 2nd postoperative day after recollection following the trans frontale vacation of right putaminal bleed. Two patients died on 3rd and 4th post-operative day respectively (GOS=1). GOS score during discharge was 3 in three cases and five cases obtained score 4. Three cases obtained GOS 5.In a 3-month clinical follow-up, one case scored modified Rankin Scale 1, three cases scored 2, four cases obtained score 3, two others scored modified Rankin Scale grade 4 and one case had modified Rankin Scale 6.Transsylvian transinsular microsurgical technique safely depicts the anatomical orientation in sylvian fissure preserving the overlying eloquent cortex in frontal and temporal lobes. This aided us to achieve better surgical and neurological outcome in patients with hypertensive deep nuclear hemorrhage irrespective to the size of hematoma.

show abstract

“…Although most reports do not show superiority of an open hematoma evacuation, [1][2][3][4] it still is performed frequently as a lifesaving procedure. As the scope of most publications is short-and medium-term morbidity and mortality there is only scarce information about the long-term recovery and health-related quality of life in these patients.…”

Section: Introductionmentioning

confidence: 99%

Long-term Functional Recovery and Quality of Life after Surgical Treatment of Putaminal Hemorrhages

Perrech

Denizci

Dorn

et al. 2015

Journal of Stroke and Cerebrovascular Diseases

View full text Add to dashboard Cite

Open Surgical Evacuation of Spontaneous Putaminal Hematomas: Prognostic Factors and Comparison of Outcomes between Transsylvian and Transcortical Approaches

Cited by 16 publications

References 24 publications

Evacuation of intracerebral hemorrhages by neuroendoscopy with transparent sheath. Experimental study

Evacuation of intracerebral hemorrhages by neuroendoscopy with transparent sheath. Experimental study

Microsurgical Approach to Hypertensive Deep Nuclear Bleed: Preliminary Experience and Short Term Outcome

Long-term Functional Recovery and Quality of Life after Surgical Treatment of Putaminal Hemorrhages

Contact Info

Product

Resources

About