Acta Cirurgica Brasileira
On-line version ISSN 1678-2674
ZHENG, Wei; ZHANG, Chunpu; HOU, Dapeng and CAO, Chunguang. Comparison on different strategies for treatments of hypertensive hemorrhage in the basal ganglia region with a volume of 25 to 35ml. Acta Cir. Bras. [online]. 2012, vol.27, n.10, pp. 727-731. ISSN 1678-2674. http://dx.doi.org/10.1590/S0102-86502012001000010.
PURPOSE: To compare curative effect of different treatments for hypertensive cerebral hemorrhage of 25 to 35ml. METHODS: In this study, 595 cases were enrolled and grouped regarding treatments including conservative treatment, evacuation with microinvasive craniopuncture technique within 6h and 6-48h after the attack. RESULTS: After follow up for three months after the attack, the assessment based on the Activity of Daily Living (ADL) indicated no significant difference among conservative treatment and surgical interventions (p>0.05). However, surgical interventions showed advantages of shorter hospitalization, quick removal of hematoma and obvious reduction of cost. CONCLUSION: The microinvasive craniopuncture technique to drain the hematoma within 6-48h may be a good way in treating hypertensive hemorrhage of basal ganglia region.
Keywords : Intracranial Hypertension; Basal Ganglia Hemorrhage; Punctures.