Treatment of basal ganglia hemorrhage by transcranial puncture under CT monitoring

Abstract

Objective To explore the treatment of basal ganglia hemorrhage by transcranial puncture.Methods Sixty eight patients of basal ganglia hematoma excluded Glasgow Coma Scale＜5 were treated by mini-invasive needle transeraniat puncture in Computer Tomography room.A metal needle drilled by dectric power through scalp and skull into intracerehral hematoma with local anesthesia on examination table guided by CT scan.The hematoma was aspirated through needle as rigid canal and drainage with urokinase within several days.The clinical evaluation included preoperative and postoperative GCS scores and hematoma volume.The mean puncture process times and 30-day mortality rate were also considered.Results The mean postoperative GCS score was increased 2.0 and the mean hematoma volume Was reduced 30%.The mean puncture process time was 23.6 minutes and 30-day mortality rate was 19.1%.Conclusions Transcranial puncture is a simple,rapid.precise,safe and effective technique for the treatment of basal ganglia hemorrhage and could reduce mortality.However the indication and opportunity of puncture must be considered. Key words: Basal ganglia hemorrhage; Mini-invasive; CT