Evacuation of hypertensive intracerebral hematoma by a stereotactic technique.
30 patients with a hypertensive intracerebral hematoma were treated by stereotactic evacuation between 1986 and 1988. There were 20 males and 10 females; their ages ranged from 37 to 78 years. The time interval from onset to operation was in 16 patients 24 days and in 14 patients 2-7 days. In 19 patients the hematoma was found in the internal capsule, in 5 in the cerebellum, in 4 in the subcortex, and in 2 in the brain stem. The operation was performed with a Leksell computed tomography guided stereotactic apparatus and a Backlund hematoma evacuator. More than 80% of the hematoma could be aspirated in 20 patients and 60-80% in 10. 29 patients are alive, and 1 patient died.
Liu
Z H
ZH
Department of Neurosurgery, Navy General Hospital, Beijing, People's Republic of China.
Kang
G Q
GQ
Chen
X H
XH
Tian
Z M
ZM
Cai
H Z
HZ
Zhang
Y
Y
Li
S Y
SY
D000328:Adult; D000368:Aged; D002543:Cerebral Hemorrhage / Q000601:surgery*; D005260:Female; D006406:Hematoma / Q000601:surgery*; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology; D013238:Stereotaxic Techniques / Q000295:instrumentation*; D013396:Suction / Q000295:instrumentation*; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*