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Journal of Korean Neurosurgical Society > Volume 12(1); 1983 > Article
Journal of Korean Neurosurgical Society 1983;12(1): 49-53.
Early Microsurgical Treatment for Hypertensive Intracerebral Hemorrhage.
Chang Rak Choi, Ki Young Park, Jae Soo Lee, Gi Won Sung, Young Kim
Department of Neurosurgery, St. Paul's Hospital, Catholic Medical college, Seoul, Korea.
ABSTRACT
We have reviewed 10 cases of hypertensive intracerebral hematoma operated within 48 hours following apopletic attacks. Computerized tomography permits the choice of the most direct approach to the hematoma. Postoperative CT and Evoked potential studies provides good control of the program of the hematoma removal. In early operation we have noted that intracranial pressure has not yet increased and the cerebral edema is minimal. Microsurgical technique with CO2 laser mes was used for bleeding controls and evacuation of the hematoma. At the three months follow-up study, 8 patients could walk unaided or with a cane, one was confined in bed and are had died.
Key Words: Intracerebral hemorrhage; CT scan; Evoked Potential Studies; Early surgery; Laser mes
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