Abstract
Objective: To observe the effect of minimally invasive aspiration combined with medication in patients with massive spontaneous intracerebral hemorrhage.
Methods: Twenty-three patients with massive primary intracerebral hematoma (>50 mL), presenting with depressed consciousness, were recruited. Minimally invasive aspiration was applied within 72 h after onset, along with mannitol or furosemide to lower the intracranial pressure and symptomatic treatment.
Results: Within 1 month after hemorrhage, three patients recovered to normal activity; the consciousness level of eight had improved; three patients remained stable; three patients had aggravated conditions and were discharged automatically (two with rehemorrhage and one with complications). Six patients died (hematoma volume of all patients was above 80 mL).
Conclusions: Minimally invasive aspiration may be effective in patients with massive intracerebral hemorrhage, but it had a poor prognosis for those patients whose hematoma volume was above 80 mL.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Broderick J, Connolly S, Feldmann E et al (2007) Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update. Stroke 38:2001–2023
Cho DY, Chen CC, Chang CS et al (2006) Endoscopic surgery for spontaneous basal ganglia hemorrhage: comparing endoscopic surgery, stereotactic aspiration, and craniotomy in noncomatose patients. Surg Neurol 65:547–556
Chen CC, Chung HC, Liu CL et al (2009) A newly developed endoscopic sheath for the removal of large putaminal hematomas. J Clin Neurosci 16:1338–1341
Xu DF (2009) Clinical research of minimally invasive needle combined urokinase in treatment of cerebral hematoma. Chin J Mod Drug Appl 3:16–18
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer-Verlag/Wien
About this chapter
Cite this chapter
Li, G., Qin, X., Pen, G., Wu, W., Yang, J., Yang, Q. (2011). Effect of Minimally Invasive Aspiration in Treatment of Massive Intracerebral Hemorrhage. In: Zhang, J., Colohan, A. (eds) Intracerebral Hemorrhage Research. Acta Neurochirurgica Supplementum, vol 111. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0693-8_64
Download citation
DOI: https://doi.org/10.1007/978-3-7091-0693-8_64
Published:
Publisher Name: Springer, Vienna
Print ISBN: 978-3-7091-0692-1
Online ISBN: 978-3-7091-0693-8
eBook Packages: MedicineMedicine (R0)