J Korean Neurosurg Soc.  1994 Jan;23(1):72-80.

Clinical analysis of Stereotactic Aspiration in Basal Ganglia Hematoma

• Lee WO
• Park DJ
• Song GS
• Choi CH
• Jang BJ
• Lee YW

Abstract

We analyzed 54 cases of spontaneous intracerebral hematoma in the basal ganglia who had been admitted to Pusan National Hospital from June, 1991 to December, 1992 and underwent CT-guided stereotactic aspiration. Fifity four cases had basal ganglia hematoma with or without ventricular rupture. In 12 cases out of them, the residual hematoma could be completely evacuated by urokinase irrigation through a catheter introduced into the cavity of hematoma. Patients with preoperatively poor neurologic condition, large or deep-seated hematoma, or the operation undergone before 6 hours from ictus, had worse outcome. In the case whose hematoma was removed more than 60%, Glasgow Outome Scales were not changed significantly. Patients of spontaneous intracerebral hematoma mostly are older age, so careful observation and medical treatment are required to prevent postoperative complications and improve general condition.

Keyword

Spontaneous intracerebral hematoma; Basal ganglia; CT-guided stereotactic aspiration; Urokinase irrigation

MeSH Terms

Basal Ganglia*
Busan
Catheters
Hematoma*
Humans
Postoperative Complications
Rupture
Urokinase-Type Plasminogen Activator
Weights and Measures
Urokinase-Type Plasminogen Activator