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Journal of Korean Neurosurgical Society 1988;17(1): 37-46. |
| Evaluation of the Hypertensive Putaminal Hemorrhage Based on Long-term Outcome: Surgical vs Conservative Treatment. |
| Dal Soo Kim, Joon Ki Kang, Jin Un Song |
| Department of Neurosurgery, Catholic University Medical College, Seoul, Korea. |
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| ABSTRACT |
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One-hundred and sixteen patients with hypertensive putaminal hemorrhage(HPH) were followed at least 3 months after the ictus and their outcome was valuated on the basis of activity of daily living and mortality. They were graded according to age, systolic blood pressure, neurological status, and the extension of hematoma, the diameter of long axis and the volume of hematoma calculated by computed tomographic(CT) scans on admission. In general, our results failed to support the view that the surgical treatment is superior to the conservative one in the management of hypertensive putaminal hemorrhage. However, this study showed some surgical advantage in case of hematoma extending to thalamus or hypothalamus with massive ventricular rupture as well as patients with either a hematoma diameter between 5.1 and 7.0 cm or a hematoma volume between 41 and 80 ml. |
| Key Words:
Hypertension; Putaminal hemorrhage; Activity of daily living; Computed to mography; Surgery |
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