| The Surgical Outcomes of Subcortical Intracerebral Hemorrhage in Geriatric Patients:
Comparative Analysis between Burr Hole Trephination and Craniotomy |
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Jin Hack Park , Sang-Jun Suh , Yoon-Soo Lee , Jeong-Ho Lee , Kee-Young Ryu , Dong-Gee Kang |
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Department of Neurosurgery, Daegu Fatima Hospital, Daegu, Korea |
| 노인 환자에서 자발성 피질하 뇌내출혈의 수술 결과에 대한 연구: 천두술과 개두술의 비교 연구 |
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박진학·서상준·이윤수·이정호, 류기영, 강동기 |
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대구 파티마병원 신경외과 |
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| Abstract |
Objective
In according to STICH trial, craniotomy is effective for a lobar hemorrhage located within 1 cm from the surface with conscious level of 9-12 on the GCS. We were curious about efficacy of burr hole trephination (BHT) for subcortical intracerebral hemorrhage (ScICH) instead of craniotomy, because BHT has advantage of reducing trauma to surrounding brain tissue and short operation time. Thus, we retrospectively investigated the outcomes of geriatric patients who underwent surgical procedure, and compared the outcomes between two surgical methods.
Methods
We retrospectively evaluated 29 patients who were operated for SICH between 2005 and 2014 in our hospital. They were all over 65 years old. We divided into two subgroups. 9 patients were underwent BHT (Group A), and 20 patients were underwent craniotomy (Group B). We analyzed the results of evacuation rate of hematoma and Glasgow Coma Scale (GCS) score at before and after surgery. We investigated results of Glasgow Outcome Scale (GOS) score at the 1month after operation. We compared the outcomes between two subgroups.
Results
In our study, average postoperative GCS score (A: 13.33, B: 12.41), evacuation rate (A: 79%, B: 75%) and GOS score (A: 4.22, B: 4.47) showed that there were no difference between two subgroups. Average GCS scores of two subgroups were increased after surgery regardless of surgical methods (A: 2.33, B: 1.81).
Conculsion: These findings suggest that BHT is helpful as much as craniotomy for SICH patients. In case of need operation, BHT should be considered for surgical options. |
| Key Words:
Neurosurgical ProcedureㆍCerebral hemorrhageㆍGeriatrics |
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