| Efficacy of Frameless Stereotactic Aspiration and Thrombolysis in Elderly Patients with Moderate-sized Thalamic Hemorrhage |
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Seong Hun Lee , Jae Hun Cha , Joon Suk Song , Weon Heo , Seong Woon Lee |
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Department of Neurosurgery, Wallace Memorial Baptist Hospital, Busan, Korea |
| 중등도 양의 시상부 출혈을 가진 노인 환자에서 뇌항법 장치를 이용한 뇌정위적 흡인술의 효용성 |
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이성훈ㆍ차재훈ㆍ송준석ㆍ허 원ㆍ이성운 |
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왈레스기념 침례병원 신경외과 |
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| Abstract |
Objective
Thalamic hemorrhages have a high mortality and morbidity. And selection for surgical treatment or conservative treatment depends on volume of hematoma. The aim of this study is to assess the efficacy of frameless stereotactic aspiration for moderate thalamic hemorrhage in the elderly patients.
Methods
In a retrospective study, a total of 68 patients with moderate thalamic hemorrhage were treated by conservative treatment (n=29) or surgical treatment (n=39). The procedure was performed using a frameless neuronavigational system. We reviewed age, sex, Glasgow coma scale (GCS) on admission, accompanied disease, intraventricular hemorrhage (IVH), time to operation from stroke onset. And functional outcome was rated using Glasgow outcome scale (GOS). A favorable outcome was defined as a GOS scale 4 or 5.
Results
The GOS scale in the aspiration group was significantly higher than that in the conservative group (p<0.05). Seven patients (24.1%) had a favorable outcome in the conservative group, while 19 patients (48.7%) had a favorable outcome in the aspiration group and this difference was significant (p<0.05).
Conclusion
We conclude that frameless stereotactic aspiration is effective for improvement of neurological outcome for moderate thalamic hemorrhage in the elderly patients. |
| Key Words:
Intracerebral hemorrhageㆍThalamusㆍNeuronavigationㆍAspiration |
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