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《Beijing Medical Journal》 2008-02
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Surgical treatment of hypertensive putaminal hematomas through transsylvian-insular approach

ZHANG Dong, WANG Shuo, ZHAO Yuan-li, et al (Department of Neurosurgery, Beijing Tiantan Hospital, Beijing 100050)  
Objective To investigate the clinical effects of hypertensive putaminal hematomas(HPH) through transsylvian-insular approach. Methods Twenty-five cases of HPH with volume of hematomas from 60 to 120ml were enrolled. The CT classifications were all extra-capsular type, and all the cases have no signs of herniation on admission. Thirteen cases received transcortical surgical treatment and 12 cases transsylvian-insular approach to remove the hematomas. Results The cases who received transsylvian-insular approach had to better neurological condition after surgery and in follow-up. Conclusions Transsylvian-insular approach is a choice for a more ideal prognosis in patients with limited extra-capsular type hematoma and relatively better preoperative neurological condition.
【CateGory Index】: R651
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