Curative effect of surgical treatment for severe hypertensive intracerebral hemorrhages in basal ganglia and broken into ventricles

Abstract

Objective To investigate the clinical treatment of severe hypertensive intracerebral hemorrhage in basal ganglia and broken into ventricles. Methods 16 patients with severe hypertensive intracerebral hemorrhage in basal ganglia and broken into ventricles received microsurgical treatment using posterior central gyrus posterior-lateral fissure upper approach.The hematoma cavity and ventricle were opened,and brain surgical department drainage was placed in the hematoma cavity in the operation.The curative effect was analyzed retrospectively 6 months after operation. Results According to Glasgow Outcome Scale(GOS):6 cases had good recovery;4 cases had moderate disability;2 cases had severe disability;1 case was in persistent vegetative state and 3 cases were dead. Conclusion Craniotomy microsurgical operation using posterior central gyrus posterior-lateral fissure upper approach is an effective treatment of severe hypertensive intracerebral hemorrhage in basal ganglia and broken into ventricles.The fatality rate was reduced. Key words: Neurosurgical procedures; Cerebral hemorrhage