| Home | E-Submission | Sitemap | Editorial Office |  
top_img
Journal of Korean Neurosurgical Society 1986;15(2): 245-256.
Stereotaxic Evacuation of Brain Stem Hemorrhage.
Sam Kyu Ko, Yong Chul Chi, Chung Bae Moon, Byung Yearn Choi, Soo Ho Cho
Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea.
ABSTRACT
Usually cases of brain stem hemorrhage reveal high mortality and poor prognosis in spite of meticulous medical or surgical treatment. Recently we experienced stereotaxic evacuation of brain stem hemorrhage with Brown-Robert-Wells(B.R.W.) system in four cases. If there were residual hemorrhage after initial aspiration, those were evacuated with Urokinase irrigation via stereotaxically placed catheter in the hematoma. The entry point of our operation get on the crossing point of midpupillary line and 1cm behind coronal structure. Preliminary results : 1) Volume of removed hematoma : 5ml(average). 2) Dates of urokinase irrigation : 2 to 4 days after operation. 3) No hydrocephalus, no surgical mortality. 4) Average Glasgow coma scale was improved from 6 in preoperative state to 12 in postoperative state. 5) Operation was performed within 24 hours. 6) Advantages of our procedure. (1) Accurate, simple and safe. (2) Under local anesthesia. (3) Less traumatic procedure. (4) Could remove hematoma completely with Urokinase.
Key Words: Brain stem hemorrhage; Suboccipital craniectomy; Stereotaxic aspiration; Cryptic vascular malformation; Urokinase; Brown-Roberts-Wells system
TOOLS
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
1,322
View
16
Download
Related articles
Stereotaxic Encephalometry.  1972 October;1(1)
Clinical Evaluation of the Traumatic Subdural Hygroma.  1979 September;8(2)
Clinical Analysis of Traumatic Intracranial Hemorrhage.  1979 September;8(2)
Stereotaxic Biopsy for Brain Tumors Using C-T Brain Scanning.  1979 September;8(2)
Stereo Evacuation of Intracerebral Hematoma.  1982 March;11(1)
Editorial Office
1F, 18, Heolleung-ro 569-gil, Gangnam-gu, Seoul, Republic of Korea
TEL: +82-2-525-7552   FAX: +82-2-525-7554   E-mail: kns61@neurosurgery.or.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © Korean Neurosurgical Society.                 Developed in M2PI
Close layer