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Journal of Korean Neurosurgical Society > Volume 17(3); 1988 > Article
Journal of Korean Neurosurgical Society 1988;17(3): 447-454.
Stereotactic Management of Spontaneous Infratenorial Hemorrhage: Part II: Transtentorial Stereotactic Approach for Spontaneous Intracerebellar Hemorrhage.
Soo Ho Cho, Dong Ro Han, Eun Sig Doh, Oh Lyong Kim, Yong Chul Chi, Byung Yearn Choi
Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
ABSTRACT
The Brown-Robert-Wells(BRW) stereotactic system has many advantages in the supratentorial spontaneous intracerebral hemorrhage(ICH), but is has less accessibility to the spontaneous cerebellar hemorrhage by stereotactic suboccipital approach. To overcome this disadvantage, we have tried to treat stereotactically three patients of spontaneous intracerebellar hemorrhage through tentorium using BRW stereotaxis and gradual irrigation wth urokinase(UK). This new approach has been used successfully under the local anesthesia with satisfactory postoperative neurological results. We present a detailed technique of this approach.
Key Words: Cerebellar hemorrhage; Stereotatic aspiration; Transtentorial approach; Brown-Roverts-Wells system; Urokinase irrigation
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