CT-guided stereotactic aspiration of intracerebral hematoma--result of a hematoma-lysis method using urokinase.
CT-guided stereotactic aspiration was performed in the CT room on 97 patients with hypertensive intracerebral hematomas, using a standard ventricular cannula. Residual hematomas were liquefied by urokinase and aspirated through the drainage tube. Major and minor rebleeding were seen in 7 cases. Two out of the 4 major rebleeding cases were followed by craniotomy, while the other cases were treated conservatively. More than 80% of the hematomas were aspirated in 68 cases, 50-70% in 19 cases and 30-40% in 6 cases. Operation in the CT room and hematoma lysis with urokinase is very useful for the aspiration of intracerebral hematomas.
D000328:Adult; D000368:Aged; D002543:Cerebral Hemorrhage / Q000601:surgery*; D006406:Hematoma / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D013238:Stereotaxic Techniques; D013396:Suction; D014057:Tomography, X-Ray Computed; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D014568:Urokinase-Type Plasminogen Activator