Clinical Analysis on the Outcome of Minimal Invasive Surgery for Spontaneous
Intracerebral Hemorrhage in Elderly Patients over 65 Years of Age

, Seung-Soo Kim1; , In Sung Park1,2; , Hyun Park1; , Chul-Hee Lee1, Soo-Hyun Hwang1; , Jong-Woo Han1

Clinical Article

Journal of Korean Society of Geriatric Neurosurgery 2014;10(2):92-96.
Published online December 30, 2014.

Clinical Analysis on the Outcome of Minimal Invasive Surgery for Spontaneous Intracerebral Hemorrhage in Elderly Patients over 65 Years of Age

Seung-Soo Kim1 , In Sung Park1,2 , Hyun Park1 , Chul-Hee Lee1, Soo-Hyun Hwang1 , Jong-Woo Han1

¹Department of Neurosurgery, Gyeongsang National University, School of Medicine, Jinju, ²Gyeongsang Institute of Health Science, Jinju, Korea

65세 이상의 고령 환자에게 발생한 자발성 뇌내출혈에 대한 최소 침습적 수술의 예후에 대한 임상적 고찰

김승수¹·박인성^1,2·박 현¹·이철희¹·황수현¹·한종우¹

경상대학교 의학전문대학원 신경외과학교실¹, 경상대학교 건강과학연구원²

Abstract

Objective
An intracerebral hemorrhage (ICH) causes 10 to 15% of all strokes. We should consider many factors when we plan to operate an ICH. Especially, we may hesitate to determine the operation when the patients are aged. We studied the outcomes in operated patients older than 65 years and compared them with the outcomes of patients less than 65 years of age.
Methods
We retrospectively evaluated 98 patients who were operated on ICH between 2010 and 2012 in our hospital. Patients were divided into two groups: Group 1 (patients older than 65 years) and Group 2 (patients younger than 65 years). Each group was divided into 3 subgroups based on the initial Glasgow Coma Scale (GSC) score (Group A; 15-13, Group B; 12-9, Group C; less than 8). Of them, we compared the outcomes by using the modified Rankin scale (mRS) at the time of discharge and 6 months after discharge.
Results
Ninety eight patients (46 group 1 [46.9%], 52 group 2 [53.1%], range 26 to 92 years) were enrolled. Comparing the same GCS group in both age groups, there was no significant difference in mRS at the time of discharge and at the time of 6 months of follow- up. The only exception was seen in group1A by aging factors. There was a worse mRS at the time of 6 months follow up.
Conclusion
The age of patient does not heavily influence the outcome of an ICH operation in elderly patients. On the other hand, there are some benefits when an operation was performed. Elderly patients can have similar outcome compare with young patients after surgery. Therefore, when elderly ICH patients need this operation, it could be determined like in young patients.

Key Words: Intracerebral hemorrhageㆍOld ageㆍMinimally invasiveㆍSurgical proceduresㆍOutcome