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Volume 6
Issue 2
Online publication date 2011-04-04
Title Differentiated surgical treatment of patients with hypertensive intracerebral hematomas
Author Mansur Agzamov, Istam Agzamov, Valery Bersnev, Natalia Ivanova
Abstract Hypertensive intracerebral hematoma is one of the most severe forms of cerebrovascular pathology, characterized by high lethality and disability. One of the objectives in providing assistance remains the development of new minimally invasive methods for the removal of hematomas. We have analyzed the results of surgical treatment of 176 patients with intracerebral hematoma. Patients from the 1st group were done open craniotomy. Patients from the 2nd group were performed the external ventricular drainage, also needle aspiration with fibrinolysis. Patients from the 3rd group were performed minimally invasive removal using the original device. Results of treatment were evaluated using Glasgow outcome scale. Lethality was observed in 1st group in 47.8% of cases, in 2nd group in 31.8%, in 3rd group in 29.7%. Minimally invasive technique reduced the postoperative mortality and improved treatment outcomes of patients with intracerebral hematoma.
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Krylov, V., Dashyan, V., Parfenov, A., 2007. “Recommendatory protocol on the management of  patients with hypertensive intracerebral hematomas”, Burdenko Journal of Neurosurgery Issues [Jurnal Voprosi Neurochirurgii im. N. Burdenko], in Russian, Vol.2, pp.3-9

Lebedev, V., Krylov, V., 2000. “Emergency neurosurgery. Guide for physicians” [Ekstrennaya neyrohigurgiya. Rukovodstvo dlya vrachey], in Russian, Moscow

Mendelow, A., Gregson, B., Fernandes, H. et al., 2005. “STICH investigators. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the Inter-national Surgical Trial in Intracerebral Haemorrhage (STICH): A randomised trial,” Lancet, Vol.365, pp.387-97

Nakano, T., Ohkuma, H., Ebina, K., 2003. “Neuroendoscopic surgery for intracerebral  hemorrhage compatison with traditional therapies”, Minim Invasive Neurosurg, Vol.46, pp.278-283

Polyakova, L., 2005. The method of puncture-aspiration of hypertensive intracerebral hematoma removal in conjunction with local fibrinolysi” [Metod punkcionno-aspiracionnogo udaleniya gipertenzivnih vnutrimozgovih gematom v sohetanii s lokalynim fibrinolizom], in Russian, Moscow

Shirshov, A., 2006. Hypertensive supratentorial intracerebral hemorrhage, complications of acute obstructive hydrocephalus and blood entering the ventricular system [Supratentorialynie gipertenzivnie vnutrimozgovie krovoizliyaniya, oslojnennie ostroy obstruktivnoy gidrocefaliey i prorivom krovi v jeludochkovuyu sistemu], in Russian, Moscow
Skvortsova, V., Krylov, V., 2005. Hemorrhagic stroke [Gemorragicheskiy insult], in Russian, Moscow

Keywords Hypertensive intracerebral hematoma, minimal invasive surgical technique, funnel cannula
Pages 94-100
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