title: Clinical experience of individual surgical therapy in hypertensive basal ganglia hemorrhage.
abstract: BACKGROUND
  The aim of this article is to summarize the clinical experience stemming from the administration of different surgical therapies in hypertensive basal ganglia hemorrhage (HBGH) patients.
  
  
  METHODS
  A series of 87 patients with HBGH who had received surgical therapy individually were enrolled in this study. The surgical therapies were stereotactic aspiration (SA), stereotactic aspiration plus fibrinolytic therapy (SA+F) and microsurgery with small bone window (MS), respectively. The outcomes of the patients were evaluated by evolution of hematoma evacuation, activities of daily living (ADL) scale, mortality and complications.
  
  
  RESULTS
  We found that there was no significant difference in the 24-hour evacuation rate, mortality and complication rate among treated groups (P>0.05). Though patients in level III and level IV of ADL scores were significantly different among the three groups, the overall ADL scale result demonstrated a similar ADL result.
  
  
  CONCLUSIONS
  HBGH patients should be treated with an individualized surgical approach based on their condition and on the CT morphology of the hematoma.
authors.affiliation: Department of Neurosurgery, General Hospital of Shenyang Military Command, Shenyang, China.
authors.forename: Tian-Shu
authors.initials: TS
authors.lastname: Lu
authors.affiliation: College of Basic Medical Science, China Medical University, Shenyang, China - cmucl@126.com.
authors.forename: Chun-Li
authors.initials: CL
authors.lastname: An
authors.affiliation: Department of Neurosurgery, General Hospital of Shenyang Military Command, Shenyang, China.
authors.forename: Jing-Yu
authors.initials: JY
authors.lastname: Guan
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D020145:Basal Ganglia Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D003131:Combined Modality Therapy; D005260:Female; D005343:Fibrinolytic Agents / Q000627:therapeutic use; D006406:Hematoma / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D006973:Hypertension / Q000150:complications*; D008297:Male; D008866:Microsurgery / Q000379:methods; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D017063:Outcome Assessment, Health Care; D013238:Stereotaxic Techniques
chemical_list: D005343:Fibrinolytic Agents