title: [Trans-sylvian-insular approach endoscopic surgery for basal ganglia hypertensive hemorrhage].
abstract: OBJECTIVE
  To explore the operative techniques and efficacy of trans-sylvian-insular approach endoscopic surgery for hypertensive basal ganglia hemorrhage.
  
  
  METHODS
  A retrospective analysis was conducted in 54 patients with hypertensive basal ganglia hemorrhage from December 2009 to December 2011. All of them underwent neuroendoscopic surgery via a trans-sylvian-insular approach. The hematoma volume was 30 - 40 ml (n = 8), 40 - 50 ml (n = 42) and > 50 ml (n = 4). And the Glasgow Coma Scale (GCS) was 8 - 12 (n = 48) and 13 - 15 (n = 6).
  
  
  RESULTS
  The clearance rate of hematoma was > 90% (n = 44) and 80% - 90% (n = 10). None suffered re-hemorrhage or death.
  
  
  CONCLUSIONS
  As a mini-invasive and efficacious approach for hypertensive basal ganglia hemorrhage, trans-sylvian-insular approach endoscopic surgery has a high clearance rate of hematoma is high and causes minimal damage to normal brain tissue. It is worth of clinical promotion.
authors: Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.
authors: Guang-tong
authors: GT
authors: Zhu
authors: Hui
authors: H
authors: Huang
authors: Zhi-qiang
authors: ZQ
authors: Hu
authors: Feng
authors: F
authors: Guan
authors: Bin
authors: B
authors: Dai
authors: Zhi-yong
authors: ZY
authors: Xiao
authors: Bei-bei
authors: BB
authors: Mao
authors: Zhuang
authors: Z
authors: Kang
mesh_terms: D000328:Adult; D000368:Aged; D020145:Basal Ganglia Hemorrhage / Q000601:surgery*; D002540:Cerebral Cortex / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D044583:Neuroendoscopy / Q000379:methods*; D012189:Retrospective Studies