Stereo Evacuation of Intracerebral Hematoma.

Choi, C R; Ahn, M S; Lee, S C; Park, C K

Original Article

Journal of Korean Neurosurgical Society 1982;11(1): 3-6.

CNS & Pain Management Institute, St. Paul's Hospital, Catholic Medical College, Seoul, Korea.

ABSTRACT

In 5 cases of intracerebral hematoma due to hypertensive hemorrhage or postcontused hemorrhage, stereotaxic evacuation of the hematoma in the brain was performed. CT scan was done for definite diagnosis, localization and coordinating target. In order to make possible the evacuation of coagulated hematomas through a simple burr hole, a specially designed instrument(Tod-Well stereotaxic guide) and infusion of proteolytic enzyme(TrasyrolR) were used. While we have treated these patients with antiedematous agent, it was possible to wait for 4-5 days to attempt in expectation of clot hematoma. Timing is og paramount important for success with this technique. Therefore CT scan must be done for the detection of characteristic of the blood clot state. This method is simple and it can be done under the local anesthesia. This stereotaxic evacuation method does not decrease high mortality rate of intracerebral hematoma, but morbidity of the patient was improved and this method offers a less bloody operation for patients with slightly neurological deficits presenting lesions in deep brain structures.