[The result of conventional craniotomy and hematoma evacuation in striatocapsular hemorrhage].
OBJECTIVE
The aim of our study is to report the outcome of our surgical procedure of conventional craniotomy for the evacuation of striatocapsular hemorrhage.


METHODS
During 2004 to 2008, 75 patients were admitted to our hospital because of striatocapsular hemorrhage. We assigned thirty one (41%) of the 75 patients to surgery. We employed prognosis-based outcome analysis.


RESULTS
The average volume of hematoma in surgically treated cases was 95.2 ± 52.5 (30- 223.8) mL. Mortality rate was 16% at 6 months after the onset. In the total population, a favorable outcome was achieved in 65% assessed by using the Glasogow Outcome Scale, 37.3% by using a modified Rankin Scale and 38.7% by using the Barthel index, respectively.


CONCLUSIONS
Our observational study indicated that the outcome through conventional craniotomy and evacuation of hematoma was superior to the outcome of typical previous studies. We also illustrated our surgical procedure to emphasize operative nuances.
Department of Neurosurgery, Teine Keijinkai Hospital, Sapporo, Japan.
Ken
K
Kazumata
Yuka
Y
Yokoyama
Katsuyuki
K
Asaoka
Kouji
K
Itamoto
Satoshi
S
Ushikoshi
Toshiya
T
Osanai
D002543:Cerebral Hemorrhage / Q000401:mortality / Q000601:surgery*; D003342:Corpus Striatum / Q000098:blood supply*; D003399:Craniotomy; D005260:Female; D006801:Humans; D020772:Internal Capsule / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome