Journal of Korean Society of Geriatric Neurosurgery 2010;6(2):100-103.
Published online October 30, 2010.
The Benefits of Surgical Treatment of Small Volume Hypertensive Putaminal Hemorrhage
Min-Hyuk Lee , Yoon-Soo Lee , Jeong-Ho Lee , Kee-Young Ryu , Dong-Gee Kang
Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea
적은 양의 피각부 출혈환자에서 수술적 치료의 우수성
이민혁ㆍ이윤수ㆍ이정호ㆍ류기영ㆍ강동기
대구 파티마병원 신경외과학교실
Abstract
Objective
The purpose of this study is to evaluate benefits of surgical treatment of small volume hypertensive putaminal hemorrhages.
Methods
26 patients with hypertensive putaminal hemorrhages between January 2004 and December 2009 were retrospectively reviewed. The hematoma volume was restricted from 10 cc to 25 cc according to CT scan. Patients were divided into surgically treated group (Group I) and medically treated group (Group II). The initial neurological status was evaluated by Glasgow Coma Score and muscle power score. The outcome was evaluated by modified Rankin Scale (mRS), modified Barthel Index (mBI), and the improvement degrees of muscle power at 6 months after hemorrhage.
Results
The surgically treated group showed better result in mRS and mBI although it did not reach the statistical significance, and showed noticeably better result in the improvement degrees of muscle power which was statistically significant.
Conclusion
This study revealed that the surgical treatment of small volume hypertensive putaminal hemorrhage was significantly beneficial in muscle power recovery.
Key Words: Hypertensive putaminal hemorrhageㆍMinimal invasive aspiration of hematomaㆍMuscle power scale


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