Stereotactic evacuation and fibrinolysis of cerebellar hematomas.
Despite modern diagnostic and operative methods, the mortality and morbidity rates of spontaneous cerebellar hematomas remain very high, i.e., according to a review of the literature as high as 45%. By stereotactic puncture, partial evacuation and fibrinolysis of the remaining hematoma with urokinase, much more favorable results can be achieved. As we could observe in long-term follow-up, only 1 patient out of 15 died within 2 months after operation. The method is effective, easy, exact, without risk and applicable at every age, so that actually there is no comparable alternative way of treatment.
Etou
A
A
Department of Neurosurgery, University of Freiburg, FRG.
Mohadjer
M
M
Braus
D
D
Mundinger
F
F
D000328:Adult; D000368:Aged; D002526:Cerebellar Diseases / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006406:Hematoma / Q000601:surgery*; D006801:Humans; 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*; D014568:Urokinase-Type Plasminogen Activator / Q000008:administration & dosage*
D014568:Urokinase-Type Plasminogen Activator