J Korean Neurosurg Soc.  1995 Mar;24(3):246-252.

Streotactic Evacuation and Urokinase Irrigation in the Management of Spontaneous Intracerebral Hemorrhage

• Choo WH
• Cho JH
• Hwang BW
• Oh NH
• Shim YB
• Song JH
• Ha IS
• Lee YS

Abstract

The best treatment modality of spontaneous intracerebral hematoma is still controversial. But stereotactic surgery can minimize the brain damage and be performed under local anesthesia. Recently we experienced 46 cases of spontaneous intracerebral hematoma which were operated using ZD(Zamorano-Dujovny) stereotactic system and urokinase irrigation from November 1990 to April 1993. Before operation, computerized tomographic scanning was done to locate the hematoma, assess the amount, and to determine the stereotactic coordinates. The silastic tube was inserted after stereotactic evacuation of hematoma and urokinase irrigation was repeated every 6 to 8 hours until the hematoma was cleared up. The results were analysed and we concluded that we can substitute open craniectomy or conservative treatment for stereotactic evacuation of spontaneous intracerebral hematoma combined with urokinase irrigation in certain instances and can minimize the brain damage regardless the patient's general condition or past history.

Keyword

Spontaneous intracerebral hematoma; Stereotactic system; Urokinase irrigation

MeSH Terms

Anesthesia, Local
Brain
Cerebral Hemorrhage*
Hematoma
Urokinase-Type Plasminogen Activator*
Urokinase-Type Plasminogen Activator