The future. Prospects of innovative treatment of intracerebral hemorrhage.
Aggressive surgical as well as medical management strategies have had limited success with improving outcomes from spontaneous intracerebral hematomas. Future prospects of treatment will undoubtedly focus on less invasive, better tolerated procedures to remove hematomas in select patients. Some success has been achieved with a coupling of stereotactic technology, fibrinolytic agents, and mechanical devices, which can remove solid portions of hematoma through narrow probes. Newer technology also has involved laser endoscopic and small ultrasonic probes to facilitate morcellation and subsequent aspiration without the problems associated with a major intracranial procedure.
Kopitnik
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TA
Department of Neurosurgery, University of Texas Southwestern Medical Center, Dallas.
Kaufman
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D002543:Cerebral Hemorrhage / Q000188:drug therapy / Q000209:etiology / Q000601:surgery*; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D005544:Forecasting; D006801:Humans; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D013396:Suction / Q000295:instrumentation
D005343:Fibrinolytic Agents