開頭血腫除去を行った脳幹出血3例の経験

Open Surgery for Pontine Hemorrhage : experience in 3 cases

I．はじめに

　脳幹出血といえども，血腫除去により症状を改善させうることはよく知られているが，症例により改善度に差があり，その手術効果，適応についての疑問が存在することも事実である．われわれは3例の脳幹出血の直達手術を行い，うち1例で症状の著明な改善を認めた．この3例をもとに，手術時期，アプローチ，手術適応について検討したので，文献的考察も含め報告する．

Experience in three pontine hemorrhage cases which were treated by open surgery is recorded here.They were operated on by trans-fourth ventricular, subtemporal transtentorial on retromastoid suboccipitalapproaches. The neurological symptom improved noticeably in one case who was operated on through theretromastoid suboccipital approach seven clays after the onset. The pontine hemorrhage can even be curedwith open surgery which is performed in the early stage and through the operative approach.