title: Evacuating Hypertensive Intracerebral Hematoma with a Cortical Sulcus Approach.
abstract: OBJECTIVE
  To study the curative effect and prognosis of patients with basal ganglia cerebral hemorrhages treated using a transcortical-sulcus approach and compare with results obtained using the traditional cerebral cortex approach.
  
  
  METHODS
  Clinical data were collected from 106 patients with hypertensive hemorrhage in the basal ganglia who were treated using either a transcortical-sulcus approach or traditional cerebral cortex approach. The rate of rehemorrhage, incidence of epilepsy, and 3-month efficacy (defined by an activities of daily living score) rate between the 2 groups were compared.
  
  
  RESULTS
  The 3-month efficacy rates of patients treated using the transcortical-sulcus and traditional cerebral cortex surgical approaches were 78.4% and 60%, respectively (P < 0.05). The incidence of epilepsy was lower in the transcortical-sulcus approach group compared with the traditional approach group, and significant differences were detected between the 2 groups (P < 0.05).
  
  
  CONCLUSIONS
  The transcortical-sulcus approach can significantly improve the prognosis of patients with intracerebral hemorrhages in the basal ganglia and reduce the incidence of postoperative seizures.
authors.affiliation: Department of Neurosurgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, Anhui Province, China; Department of Neurosurgery, Fuyang City People's Hospital, Anhui Province, China.
authors.forename: Zhibo
authors.initials: Z
authors.lastname: Gao
authors.affiliation: Department of Neurosurgery, Fuyang City People's Hospital, Anhui Province, China.
authors.forename: Lingtao
authors.initials: L
authors.lastname: Qian
authors.affiliation: Department of Neurosurgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, Anhui Province, China.
authors.forename: Chaoshi
authors.initials: C
authors.lastname: Niu
authors.affiliation: Department of Neurosurgery, Fuyang City People's Hospital, Anhui Province, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Chen
authors.affiliation: Department of Neurosurgery, Fuyang City People's Hospital, Anhui Province, China.
authors.forename: Hongjun
authors.initials: H
authors.lastname: Guo
authors.affiliation: Department of Neurosurgery, Fuyang City People's Hospital, Anhui Province, China.
authors.forename: Pengju
authors.initials: P
authors.lastname: Sun
authors.affiliation: Department of Neurosurgery, Fuyang City People's Hospital, Anhui Province, China.
authors.forename: Yongzhi
authors.initials: Y
authors.lastname: Wang
authors.affiliation: Department of Neurosurgery, Fuyang City People's Hospital, Anhui Province, China.
authors.forename: Liang
authors.initials: L
authors.lastname: Ning
authors.affiliation: Department of Neurosurgery, Fuyang City People's Hospital, Anhui Province, China.
authors.forename: Qi
authors.initials: Q
authors.lastname: Li
authors.affiliation: Department of Neurosurgery, Anhui Provincial Hospital Affiliated to Anhui Medical University, Hefei, Anhui Province, China. Electronic address: fuxianmingah@163.com.
authors.forename: Xianming
authors.initials: X
authors.lastname: Fu
mesh_terms: D000328:Adult; D000368:Aged; D001479:Basal Ganglia / Q000000981:diagnostic imaging / Q000601:surgery*; D002540:Cerebral Cortex / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006973:Hypertension / Q000000981:diagnostic imaging / Q000601:surgery*; D020299:Intracranial Hemorrhage, Hypertensive / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000379:methods*; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000517:prevention & control; D017397:Prefrontal Cortex / Q000000981:diagnostic imaging / Q000601:surgery; D012189:Retrospective Studies; D012640:Seizures / Q000000981:diagnostic imaging / Q000517:prevention & control
keywords: Basal ganglia; Hypertensive; Intracerebral hemorrhage; Transcortical-sulcus approach