Journal of Korean Society of Geriatric Neurosurgery 2015;11(1):1-5.
Published online June 30, 2015.
Clinical and Radiological Characteristics of Spontaneous Basal Ganglia Hemorrhage in Elderly?
Chang Ki Jang , Yeon Soo Choo , Joonho Chung , Jin Yang Joo , Yong Bae Kim
Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea
고령 환자에서의 자발성 기저핵 뇌출혈의 임상적 및 영상학적 특성
연세대학교 의과대학 강남세브란스병원 신경외과학교실
To extrapolate unique characteristics of spontaneous basal ganglia hemorrhage (BGH) in elderly as compared to non-elderly, and according to regional location of hemorrhage.
Among a total of 103 patients with BGH, 44 patients older than 65 years were analyzed by reviewing medical records retrospectively. The BGH was classified into 2 subgroups; the medial BGH mainly involves caudate head, globus pallidus, and putamen. The lateral BGH is located below insular cortex and outside putamen.
The elderly group showed a tendency of developing lateral BGH more frequently (30 patients, 68.1%) than medial BGH (14 patients, 31.8%). Surgical intervention was performed in 66.6% of the lateral BGH group, and in 28.5% of the medial BGH group. Although the lateral BGH tends to be larger in size (p<0.05), recovery of patients with the lateral BGH showed not inferior to those with the medial BGH. As compared to non-elderly group, the difference in proportion in use of anti-platelet, type of BGH, layered density on initial computed tomographic scan was statistically significant.
Patients in elderly showed somewhat different characteristics in developing BGH as compared to nonelderly patients. Surgical intervention for the lateral subgroup of BGH seems plausible to improve neurological outcome even for the elderly BGH patients.
Key Words: Basal gangliaㆍHemorrhageㆍElderlyㆍFunctional outcomeㆍClassification

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