| The Effectiveness of Stereotactic Surgery and External Ventricular Drainage for Treatment of Thalamus Hemorrhage with Intra-Ventricular Hemorrhage |
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Sung Hyun Noh, Kyung Gi Cho, Sang Sup Chung, Joo Pyung Kim |
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Department of Neurosurgery, Bundang CHA Medical Center, CHA University College of Medicine, Seongnam, Korea |
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| Abstract |
Objective
s: This study aimed to investigate the effectiveness of stereotactic surgeryperformedusing an intra-cerebral hemorrhage (ICH) catheter and to compare this procedure in the presence or absence of external ventricular drainage (EVD), for thalamus hemorrhage accompanied by intra-ventricular hemorrhage (IVH).
Methods
Twenty-eight patients with thalamus hemorrhage accompanied by IVH underwent stereotactic surgery and aspiration using urokinase. They were divided into two groups:GroupI, ICH catheter, and GroupII, ICH catheter with EVD. We compared the results between the two groups with respect to their age and sex, location of hematoma, ICH quantity, Graeb Score, Glasgow Coma Scale (GCS) score, Intensive Care Unit (ICU) care-period, and time from symptom-onset to surgery.
Results
Patients in both groups showed marked improvement in clinical outcome. The Graeb scoresrevealed a statistically significant difference (p=0.011) between the groups.GroupI hadsignificantly shorter time (p=0.035) for removing hemorrhage.
Conclusions
Stereotactic surgery is a highly effective and safe surgical method for thalamus hemorrhagewhen accompanied by IVH.When the IVH volume is less than five in the Graeb score,ICH catheter insertion alone is preferable. |
| Key Words:
Intra-cerebral hemorrhage, Thalamus hemorrhage, Stereotactic surgery, Intra-cerebral hemorrhage catheter, External ventricular drainage. |
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