Ultra Early Microsurgical Treatment of Hypertensive Putaminal Hemorrhage
Journal Title: Nepal Journal of Neuroscience - Year 2013, Vol 10, Issue 1
Abstract
The objective of this study is to analyze the outcome and prognosis of hypertensive putaminal hemorrhage. The prognostic factors have also been evaluated. This study included the patients who underwent open craniotomy as a life saving procedure. Total 36 patients admitted in our hospital from October 2006 to July 2008 because of hypertensive putaminal hemorrhage were retrospectively analysed. Patients were divided into two groups. Patients, 17 in number, who underwent transylvian approach were grouped as A. Patients, 19 in number, who underwent transcortical approach were grouped as B. Mortality rate, Glasgow Outcome Score(GOS) and activities of daily life (ADL) score were analyzed using statistical method. Mortality rate of transylvian group is 17.65% and trancortical group is 36.85%. Average Glasgow outcome scale (GOS) score of transylvian group and transcortical group 6 months postoperatively are 2.82 and 2.26 respectively. Average ADL score of transylvian group and transcortical group 6 month postoperatively are 3.35 and 3.74 respectively. The short term outcome of intracerebral hemorrhage (ICH) is determined by the severity of bleeding as measured by clinical conditions, the hematoma size, the presence of intraventricular hematoma and the long term outcome depends mainly on age. Surgical intervention increases the chance of survival or prolongs the surviving period, despite remaining severe neurological deficits.
Authors and Affiliations
Bivek Vaidya, MS
Keywords
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