Stereotaxic Evacuation Using Pelorus System vs Conventional Craniotomy for Spontaneous Intracerebral Hematoma.

Jahng, T A; Park, K W; Jung, N; Cho, K K

Original Article

Journal of Korean Neurosurgical Society 1990;19(4): 497-505.

Department of Neurosurgery, Presbyterian Medical Center, Jeonju, Korea.

ABSTRACT

To date no definite conclusion has been reached regarding the suitability of treatment for spontaneous intracerebral hematoma. With remarkable development of CT guided stereotaxic technique, stereotaxic evacuation is in preference to conventional craniotomy due to local anesthetics and minimal invasion. Authors present the result of comparative study on conventional craniotomy vs stereotaxic evacuation using Pelorus system with urokinase irrigation and drainage from Jan. 1985 to July 1989 (102 conventional craniotomy and 35 CT guided stereotaxic evacuation). Stereotaxic evacuation revealed better result compared to conventional craniotomy in activity of daily living(ADL) and improvement of motor weakness, and it had not influenced by hematoma location and volume. Urokinase irrigation using catheter with distal multiple side hole could remove the remained hematoma rapidly and easily. These results may provide that stereotaxic evacuation with urokinase irrigation can be one of the definite of spontaneous intracerebral hematoma.

Key Words: Spontaneous intracerebral hematoma; Conventional craniotomy; Stereotaxic evacuation; Pelorus system; Urokinase irrigation; Activity of daily living(ADL)