Manual stereotactic aspiration of spontaneous deep-seated intracerebral haematomas in non-comatose patients.
Manual stereotactic aspiration was used in 46 consecutive non-comatose patients with haematomas within the basal ganglia and the results were compared with those obtained in a similar group of 39 patients who were treated purely medically in another hospital. The operation was performed in the subacute stage, and in most cases three target-points were chosen on the scan with the largest expansion of the haematoma. The haematoma was manually aspirated with a syringe device in different depths in regard to the target-points, and mean proportion aspirated was 90.2%. The level of consciousness improved markedly and GCS scores after stereotactic surgery were significantly higher than those after medical treatment (p < 0.0001). Peri-ictal mortality was significantly reduced in the surgical group and with improved levels of consciousness, the patients were suitable for further rehabilitative treatment earlier. This resulted in a significantly reduced in-patient stay. Manual stereotactic aspiration of deep-seated intracerebral haematomas in the subacute stage proved to be a simple and safe method with high efficacy.
Marquardt
G
G
Neurosurgical Clinic, Johann Wolfgang Goethe-University, Schleusenweg 2-16, 60528 Frankfurt am Main, Germany. G.Marquardt@em.uni-frankfurt.de
Wolff
R
R
Sager
A
A
Hartung
A
A
Lorenz
R
R
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001480:Basal Ganglia Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D016009:Chi-Square Distribution; D005260:Female; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D018709:Statistics, Nonparametric; D013396:Suction / Q000379:methods*; D014057:Tomography, X-Ray Computed