SURGICAL TREATMENT OF HYPERTENSIVE INTRACEREBRAL HEMORRHAGE AT EARLY PHASE WITH CASES OF EXTRAVASATION Masayoshi Kowada 1 , Shigeru Matsuoka 1 , Zentaro Ito 1 , Akihiko Hirayama 1 , Yoji Gito 1 1Division of Surgical Neurology, Research Institute of Brain and Blood Vessels pp.1353-1357
Published Date 1971/11/1
DOI https://doi.org/10.11477/mf.1406203009
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It has been recently reported in Japan that post-operative mortaliry of hypertensive intracerebral hemorrhage was 50.9% within 24 hours after opera-tion. Surgical indication should be investigated more thoroughly at acute stage. Surgically treated 16 cases of hypertensive intracerebral hemorrhage in which operations were performed within 12 hours after onset were reported herein in detail with discussion concerning surgical indications at early phase.

Leakage of contrast medium were demonstrated in five out of twelve cases of hypertensive intra-cerebral hemorrhage, in which carotid serial angio-grapies were carried out within 5 hours after onset. Evacuation of hematoma was done in four out of five. All of them were saved by operation. There were no reports about live-saved cases of extrava-sation in the literature

Copyright © 1971, Igaku-Shoin Ltd. All rights reserved.


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