Effectiveness of Surgical Treatments for Basal Ganglia Hemorrhage and Imaging Factors Affecting Hematoma Evacuation Rate by Neuroendoscopic Surgery
| Autor: | Rui-Sheng Lin, Chang-Fu Zhou, Gui-Mei Shi, Yan Huang, Guo-Shi Lin, Mei-Zhen Sun, Yan-Feng Chen, Da-Hua Xie, Ai-Shun Guo |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Neurosurgical Procedures 03 medical and health sciences High morbidity 0302 clinical medicine Postoperative Complications medicine Humans In patient Craniotomy Hematoma evacuation Aged Retrospective Studies Postoperative Care business.industry Significant difference Neuroendoscopic surgery Basal Ganglia Hemorrhage Retrospective cohort study Endoscopy Middle Aged Surgery Treatment Outcome 030220 oncology & carcinogenesis Neuroendoscopy Drainage Female Neurology (clinical) business Tomography X-Ray Computed Basal ganglia hemorrhage 030217 neurology & neurosurgery |
| Zdroj: | Journal of neurological surgery. Part A, Central European neurosurgery. 81(2) |
| ISSN: | 2193-6323 |
| Popis: | Background Basal ganglia hemorrhage (BGH) is a devastating neurologic disease with high morbidity and mortality, and its management is still controversial. We evaluated the effectiveness of surgical treatments for BGH and investigated computed tomography (CT) imaging features affecting the hematoma evacuation rate (ER) in patients treated with neuroendoscopic surgery. Materials and Methods A total of 104 BGH patients who underwent craniotomy, burr-hole drainage, or neuroendoscopic surgery were analyzed retrospectively. Clinical characteristics, imaging features, and postoperative complications were compared. Univariate and multivariate regression analyses were applied to identify imaging factors associated with ER. Results A significant difference in ER was observed: 78.4% in patients treated with neuroendoscopic surgery, 33.6% in patients treated with burr-hole drainage, and 82.5% in patients treated with craniotomy (p Conclusions The benefits and drawbacks of surgical treatments confirmed they have their own indications, and neuroendoscopic surgery may be relatively beneficial for BGH treatment. The island sign was an independent factor affecting ER for neuroendoscopic surgery. Therefore, comprehensive assessment of clinical data, especially the island sign, should be performed preoperatively in BGH patients. |
| Databáze: | OpenAIRE |
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