Minimally invasive small bone window craniotomy for supratentorial spontaneous intracerebral hemorrhage
Ma Jiqiang
Cao Jun
Liang Yumin
Ding Shenghao
Bao Yinghui
Gao Guoyi
Pan Yaohua
Jiang Jiyao
Abstract：Objective To investigate the safety and effectiveness of minimally invasive small bone window craniotomy for supratentorial spontaneous intracerebral hemorrhage (sICH). Methods The clinical data of 46 patients with supratentorial sICH were analyzed. The hematoma volume was 30-60 ml. The hematoma was located in the thalamus in 3 cases, subcortical in 9 and basal ganglia in 34. All the patients were operated by vertical incision and small bone window craniotomy after locating the hematoma according to CT scanning. After most of hematoma was evacuated, the drainage tube was placed in the cavity of hematoma. According to the postoperative extent of hematoma evacuation, the patients were determined whether to administer urokinase irrigation or not, and the duration of drainage. Results The repeated CT scan within 12 h after operation revealed the hematoma evacuation was more than 80%in 33 cases,>60%-80%in 9 and 50%-60%in 4. The average in-hospital time was 16 ± 6.8 d. According to the Glasgow Outcome Scale, favorable outcome (GOS 4-5) was observed in 40 cases and unfavorable (GOS 1-3) in 6. Conclusions For supratentorial sICH with hematoma volume of 30-60 ml without cerebral herniation, early minimally invasive small bone window craniotomy after position CT scan could improve the living quality of such patients.
Keywords：intracranial hemorrhagespontaneoussmall bone windowsurgical proceduresminimally invasive
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 241-243 )