[Hemorrhages into the cerebral hemispheres and acute obstructive hydrocephalus: new findings in their pathogenesis and the treatment procedure].
CT study of 106 patients with non-traumatic supratentorial intracerebral hemorrhages in the acute period has found a fairly high incidence (29.3%) of the occurrence of acute obstructive hydrocephalus (AOH). It is regarded to be one of the important constituents in the process of an increase in the brain volume leading alongside with other factors to an elevation of the intracranial pressure and dislocation of the brainstem. AOH had no tendency towards the reverse development, was resistant to conservative methods of treatment and usually ended in lethal outcome. Only the differentiated surgical treatment in 250 patients with hemorrhagic stroke including that in hematomas with AOH performed predominantly by the stereotactic method as well as ventricular drainage used as an auxiliary or independent operation provided success of the treatment. In certain volumes and localizations of the hematoma the stereotactic method had an advantage over the open method, as a result of this the postoperative mortality rate decreased 2.5 times. The importance of the timely (CT) detection of AOH and the differentiated surgical treatment as the method of treating a kind of critical condition in patients with cerebral hemorrhages is emphasized.
Vereshchagin
N V
NV
Kugoev
A I
AI
Peresedov
V V
VV
Shmyrev
V I
VI
D000208:Acute Disease; D001921:Brain / Q000000981:diagnostic imaging; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D007427:Intracranial Pressure; D013238:Stereotaxic Techniques; D013997:Time Factors; D014057:Tomography, X-Ray Computed
Krovoizliianiia v polushariia mozga i ostraia obstruktivnaia gidrotsefaliia: novoe v patogeneze i taktike lecheniia.