Stereotactic aspiration and thrombolysis of spontaneous intracerebellar hemorrhage
Background Spontaneous intracerebellar hemorrhage （SCH） accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less reported. The aim of this study was to assess the effect and feasibility of the method, and to refine the clinical protocol. Metho...
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| Published in | Chinese medical journal Vol. 124; no. 11; pp. 1610 - 1615 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
China
Precision Engineering Centre of Harbin Institute of Technology, Harbin, Heilongjiang 150001, China
05.06.2011
Fourth Department of Neurosurgery, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, China%Fourth Department of Neurosurgery, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, China%Department of Anesthesiology, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, China%Precision Engineering Centre of Harbin Institute of Technology, Harbin, Heilongjiang 150001, China |
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| Abstract | Background Spontaneous intracerebellar hemorrhage （SCH） accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less reported. The aim of this study was to assess the effect and feasibility of the method, and to refine the clinical protocol. Methods Eighteen patients with SCH were treated by stereotactic aspiration and thrombolysis and reviewed in this report. The 3-ram axial stereotactic computed tomoaraDhv slices throughout the hematoma were obtained. |
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| AbstractList | Background Spontaneous intracerebellar hemorrhage （SCH） accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less reported. The aim of this study was to assess the effect and feasibility of the method, and to refine the clinical protocol. Methods Eighteen patients with SCH were treated by stereotactic aspiration and thrombolysis and reviewed in this report. The 3-ram axial stereotactic computed tomoaraDhv slices throughout the hematoma were obtained. Q813; Background Spontaneous intracerebellar hemorrhage (SCH) accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less reported. The aim of this study was to assess the effect and feasibility of the method, and to refine the clinical protocol.Methods Eighteen patients with SCH were treated by stereotactic aspiration and thrombolysis and reviewed in this report. The 3-mm axial stereotactic computed tomography slices throughout the hematoma were obtained. Those images were then transferred to the workstation. The trajectory of catheter was designed to go through the main axis of the hematoma. Under local anesthesia a catheter was directed stereotactically into the hematoma through a burr hole.Hematoma thrombolysis and clot drainage was followed by instillation of urokinase (10 000 U) every 12 hours. The catheter was removed when the majority of hematoma was evacuated.Results Initial SCH volume was reduced by an average of 86% and the average final hematoma volume was 2.8 ml. At 3-month follow-up, 13 patients (72%) had achieved good recovery. At 6-month follow-up, 12 patients (67%) had achieved good recovery.Conclusion Stereotactic aspiration and thrombolysis of SCH was a simple, feasible and effective method to treat moderate and some benign SCH that less respond to medical treatment. Spontaneous intracerebellar hemorrhage (SCH) accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less reported. The aim of this study was to assess the effect and feasibility of the method, and to refine the clinical protocol.BACKGROUNDSpontaneous intracerebellar hemorrhage (SCH) accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less reported. The aim of this study was to assess the effect and feasibility of the method, and to refine the clinical protocol.Eighteen patients with SCH were treated by stereotactic aspiration and thrombolysis and reviewed in this report. The 3-mm axial stereotactic computed tomography slices throughout the hematoma were obtained. Those images were then transferred to the workstation. The trajectory of catheter was designed to go through the main axis of the hematoma. Under local anesthesia a catheter was directed stereotactically into the hematoma through a burr hole. Hematoma thrombolysis and clot drainage was followed by instillation of urokinase (10,000 U) every 12 hours. The catheter was removed when the majority of hematoma was evacuated.METHODSEighteen patients with SCH were treated by stereotactic aspiration and thrombolysis and reviewed in this report. The 3-mm axial stereotactic computed tomography slices throughout the hematoma were obtained. Those images were then transferred to the workstation. The trajectory of catheter was designed to go through the main axis of the hematoma. Under local anesthesia a catheter was directed stereotactically into the hematoma through a burr hole. Hematoma thrombolysis and clot drainage was followed by instillation of urokinase (10,000 U) every 12 hours. The catheter was removed when the majority of hematoma was evacuated.Initial SCH volume was reduced by an average of 86% and the average final hematoma volume was 2.8 ml. At 3-month follow-up, 13 patients (72%) had achieved good recovery. At 6-month follow-up, 12 patients (67%) had achieved good recovery.RESULTSInitial SCH volume was reduced by an average of 86% and the average final hematoma volume was 2.8 ml. At 3-month follow-up, 13 patients (72%) had achieved good recovery. At 6-month follow-up, 12 patients (67%) had achieved good recovery.Stereotactic aspiration and thrombolysis of SCH was a simple, feasible and effective method to treat moderate and some benign SCH that less respond to medical treatment.CONCLUSIONStereotactic aspiration and thrombolysis of SCH was a simple, feasible and effective method to treat moderate and some benign SCH that less respond to medical treatment. Spontaneous intracerebellar hemorrhage (SCH) accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less reported. The aim of this study was to assess the effect and feasibility of the method, and to refine the clinical protocol. Eighteen patients with SCH were treated by stereotactic aspiration and thrombolysis and reviewed in this report. The 3-mm axial stereotactic computed tomography slices throughout the hematoma were obtained. Those images were then transferred to the workstation. The trajectory of catheter was designed to go through the main axis of the hematoma. Under local anesthesia a catheter was directed stereotactically into the hematoma through a burr hole. Hematoma thrombolysis and clot drainage was followed by instillation of urokinase (10,000 U) every 12 hours. The catheter was removed when the majority of hematoma was evacuated. Initial SCH volume was reduced by an average of 86% and the average final hematoma volume was 2.8 ml. At 3-month follow-up, 13 patients (72%) had achieved good recovery. At 6-month follow-up, 12 patients (67%) had achieved good recovery. Stereotactic aspiration and thrombolysis of SCH was a simple, feasible and effective method to treat moderate and some benign SCH that less respond to medical treatment. |
| Author | LIU Li SHEN Hong ZHANG Fan WANG Jing-he SUN Tao LIN Zhi-guo |
| AuthorAffiliation | Precision Engineering Centre of Harbin Institute of Technology, Harbin, Heilongjiang 150001 Fourth Department of Neurosurgery Department of Anesthesiology First Affiliated Hospitalof Harbin Medical University,Harbin. Heilongjiang 150001, China |
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| Keywords | thrombolytic therapy spontaneous intracerebellar hemorrhage stereotactic aspiration urokinase |
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| Notes | LIU Li, SHEN Hong, ZHANG Fan, WANG Jing-he, SUN Tao,LIN Zhi-guo Precision Engineering Centre of Harbin Institute of Technology, Harbin, Heilongjiang 150001, China （Liu L, Wang JH and Sun T） Fourth Department of Neurosurgery （Liu L, Shen H and Lin ZG）, Department of Anesthesiology （Zhang F）, First Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, China Background Spontaneous intracerebellar hemorrhage （SCH） accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less reported. The aim of this study was to assess the effect and feasibility of the method, and to refine the clinical protocol. Methods Eighteen patients with SCH were treated by stereotactic aspiration and thrombolysis and reviewed in this report. The 3-ram axial stereotactic computed tomoaraDhv slices throughout the hematoma were obtained. spontaneous intracerebellar hemorrhage; stereotactic aspiration; thrombolytic therapy; urokinase 11-2154/R ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
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| Snippet | Background Spontaneous intracerebellar hemorrhage （SCH） accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of... Spontaneous intracerebellar hemorrhage (SCH) accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis of SCH was less... Q813; Background Spontaneous intracerebellar hemorrhage (SCH) accounts for 10% of intracerebral hemorrhages. Up to now stereotactic aspiration and thrombolysis... |
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| SubjectTerms | Aged Aged, 80 and over Cerebral Hemorrhage - drug therapy Cerebral Hemorrhage - surgery Female Humans Male Middle Aged RAM SCH Stereotaxic Techniques Suction Thrombolytic Therapy - methods Urokinase-Type Plasminogen Activator - therapeutic use 中学 愿望 报告审查 溶栓 立体 脑出血 |
| Title | Stereotactic aspiration and thrombolysis of spontaneous intracerebellar hemorrhage |
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