| Stereotactic Treatment versus Conservative Treatment of Spontaneous Intracerebral Hemorrhage in Geriatric Patients |
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Sang Hyung Jun , Ki Chang Lee , Sung Tae Kim , Kun Soo Lee , Sung Hwa Paeng , Se Yeong Pyo , Young Gyoon Jeong , Moo Sung Kim , Yong Tae Jung , Won Hee Lee |
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Department of Neurosurgery, Inje University Busan Paik Hospital, Inje University College of Medicine, Busan, Korea |
| 고령 환자에서 자발성 뇌내출혈의 정위적 수술과 보존적 치료의 효과 비교 |
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전상형·이기창·김성태·이근수·팽성화·표세영·정영균·김무성·정용태·이원희 |
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인제대학교 의과대학 부산백병원 신경외과학교실 |
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| Abstract |
Objective
Spontaneous intracerebral hemorrhage (S-ICH) is proportioned 10-44% of all stroke and old age is risk factor for S-ICH. S-ICH is associated with a high mortality and morbidity, but the treatment of choice is still controversial. So we analyzed treatment effect of stereotactic treatment and conservative treatment of S-ICH in geriatric patients.
Methods
We compared neurologic recoveryand hospital days of over 65years old patients with S-ICH who were treated by stereotactic aspiration of hematoma or conservative treatment.
Results
From January 2012 to December 2014, 74 patients with S-CIH was treated using stereotactic aspiration of hematoma and 113 patients was received conservative treatment in our institute. 61 patients (82.4%) were showed neurological symptom recovery in stereotactic treatment group and 57 patients (50.4%) were revealed neurological symptom recovery in conservative treatment group. Mean hospital day was 24.8 days in conservative treatment group and 34.2 days in stereotactic treatment group.
Conclusion
Stereotactic aspiration of hematoma is effective treatment in geriatric patients with S-ICH who have difficult to undergoing operation. |
| Key Words:
Spontaneous intracerebral hematoma, Stereotactic, Conservative, Geriatric |
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