Abstract

Objective To investigate the clinical efficacy of small bone window microsurgical treatment for basal ganglia hypertensive hemorrhage.Methods 96 patients with basal ganglia hypertensiv hemorrhage who had undergone small bone window microsurgical treatment for removal of intracranial hematoma within 24 hours after onset during the period of January 2006 to August 2012 were included in this study.Results Cranial CT scans were performed on all the patients 3 and 5 hours after the removal of intracranial hematoma,showing a rate of hematoma removal of 89%.No rebleeding occurred.3 months after the procedure,activities of daily living (ADL) classification revealed grade Ⅰ in 15 patients,grade Ⅱ in 21,grade Ⅲ in 28,grade Ⅳ in 21,and grade Ⅴ in 5; 6 patients were dead.Conclusions Dmall bone window microsurgical treatment is an effective procedure for basal ganglia hypertensive hemorrhage.It is worth further popularizing. Key words: Hypertensive cerebral hemorrhage; Basal ganglia; A small bone window; Microsurgery

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