Manual stereotactic aspiration of spontaneous deep-seated intracerebral haematomas in non-comatose patients
Manual stereotactic aspiration was used in 46 consecutive non-comatose patients with haematomas within the basal ganglia and the results were compared with those obtained in a similar group of 39 patients who were treated purely medically in another hospital. The operation was performed in the subac...
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| Veröffentlicht in: | British journal of neurosurgery 2001-04, Vol.15 (2), p.126-131 |
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| creator | Marquardt, R. Wolff, A. Sager, A. Hartung, R. Lorenz, G. |
| description | Manual stereotactic aspiration was used in 46 consecutive non-comatose patients with haematomas within the basal ganglia and the results were compared with those obtained in a similar group of 39 patients who were treated purely medically in another hospital. The operation was performed in the subacute stage, and in most cases three target-points were chosen on the scan with the largest expansion of the haematoma. The haematoma was manually aspirated with a syringe device in different depths in regard to the target-points, and mean proportion aspirated was 90.2%. The level of consciousness improved markedly and GCS scores after stereotactic surgery were significantly higher than those after medical treatment ( p |
| doi_str_mv | 10.1080/02688690120036810 |
| format | Article |
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Wolff, A. Sager, A. Hartung, R. Lorenz, G.</creator><creatorcontrib>Marquardt, R. Wolff, A. Sager, A. Hartung, R. Lorenz, G.</creatorcontrib><description>Manual stereotactic aspiration was used in 46 consecutive non-comatose patients with haematomas within the basal ganglia and the results were compared with those obtained in a similar group of 39 patients who were treated purely medically in another hospital. The operation was performed in the subacute stage, and in most cases three target-points were chosen on the scan with the largest expansion of the haematoma. The haematoma was manually aspirated with a syringe device in different depths in regard to the target-points, and mean proportion aspirated was 90.2%. The level of consciousness improved markedly and GCS scores after stereotactic surgery were significantly higher than those after medical treatment ( p <0.0001). Peri-ictal mortality was significantly reduced in the surgical group and with improved levels of consciousness, the patients were suitable for further rehabilitative treatment earlier. This resulted in a significantly reduced in-patient stay. Manual stereotactic aspiration of deep-seated intracerebral haematomas in the subacute stage proved to be a simple and safe method with high efficacy.</description><identifier>ISSN: 0268-8697</identifier><identifier>EISSN: 1360-046X</identifier><identifier>DOI: 10.1080/02688690120036810</identifier><identifier>PMID: 11360375</identifier><language>eng</language><publisher>Abingdon: Informa UK Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Arterial Hypertension Basal Ganglia Intracerebral Haematoma Stereotactic Aspiration ; Basal Ganglia Diseases - diagnostic imaging ; Basal Ganglia Diseases - surgery ; Biological and medical sciences ; Brain ; Chi-Square Distribution ; Female ; Hematoma - diagnostic imaging ; Hematoma - surgery ; Humans ; Male ; Medical procedures ; Medical sciences ; Middle Aged ; Neurosurgery ; Patients ; Skull, brain, vascular surgery ; Statistics, Nonparametric ; Suction - methods ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Tomography, X-Ray Computed</subject><ispartof>British journal of neurosurgery, 2001-04, Vol.15 (2), p.126-131</ispartof><rights>2001 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted 2001</rights><rights>2001 INIST-CNRS</rights><rights>Copyright Carfax Publishing Company Apr 2001</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-71bae37b185e5d5ac5c777ce0021eb226f79e47974f3fa5ca1afab9ad9a02f2d3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.tandfonline.com/doi/pdf/10.1080/02688690120036810$$EPDF$$P50$$Ginformaworld$$H</linktopdf><linktohtml>$$Uhttps://www.tandfonline.com/doi/full/10.1080/02688690120036810$$EHTML$$P50$$Ginformaworld$$H</linktohtml><link.rule.ids>314,778,782,27911,27912,59632,59738,60421,60527,61206,61241,61387,61422</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=957342$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11360375$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marquardt, R. Wolff, A. Sager, A. Hartung, R. Lorenz, G.</creatorcontrib><title>Manual stereotactic aspiration of spontaneous deep-seated intracerebral haematomas in non-comatose patients</title><title>British journal of neurosurgery</title><addtitle>Br J Neurosurg</addtitle><description>Manual stereotactic aspiration was used in 46 consecutive non-comatose patients with haematomas within the basal ganglia and the results were compared with those obtained in a similar group of 39 patients who were treated purely medically in another hospital. The operation was performed in the subacute stage, and in most cases three target-points were chosen on the scan with the largest expansion of the haematoma. The haematoma was manually aspirated with a syringe device in different depths in regard to the target-points, and mean proportion aspirated was 90.2%. The level of consciousness improved markedly and GCS scores after stereotactic surgery were significantly higher than those after medical treatment ( p <0.0001). Peri-ictal mortality was significantly reduced in the surgical group and with improved levels of consciousness, the patients were suitable for further rehabilitative treatment earlier. This resulted in a significantly reduced in-patient stay. Manual stereotactic aspiration of deep-seated intracerebral haematomas in the subacute stage proved to be a simple and safe method with high efficacy.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Arterial Hypertension Basal Ganglia Intracerebral Haematoma Stereotactic Aspiration</subject><subject>Basal Ganglia Diseases - diagnostic imaging</subject><subject>Basal Ganglia Diseases - surgery</subject><subject>Biological and medical sciences</subject><subject>Brain</subject><subject>Chi-Square Distribution</subject><subject>Female</subject><subject>Hematoma - diagnostic imaging</subject><subject>Hematoma - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical procedures</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurosurgery</subject><subject>Patients</subject><subject>Skull, brain, vascular surgery</subject><subject>Statistics, Nonparametric</subject><subject>Suction - methods</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Tomography, X-Ray Computed</subject><issn>0268-8697</issn><issn>1360-046X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV2L1TAQhoMo7tnVH-CNFIW9q06apklxb2TxC1a8UfCuTNMJp2ub1CRF9t-bco4uKupVIPM8LzO8jD3i8IyDhudQNVo3LfAKQDSawx2246KBEurm81222-ZlBtQJO43xGjIoQd1nJ3yjhJI79uU9uhWnIiYK5BOaNJoC4zIGTKN3hbdFXLxL6MivsRiIljISJhqK0aWAJmt9yAF7pBmTnzHmQeG8K43fPiIVS44il-IDds_iFOnh8T1jn16_-nj5trz68Obd5cur0tRap1LxHkmonmtJcpBopFFKGQKoOPVV1VjVUq1aVVthURrkaLFvcWgRKlsN4oydH3KX4L-uFFM3j9HQNB2O6BRoqZWU_wUraGrFmyqDT34Dr_0aXD4iM1JsDegM8QNkgo8xkO2WMM4YbjoO3dZX90df2Xl8DF77mYZb41hQBp4eAYwGJxvQmTH-5FqpRL3td3GgRmd9mPGbD9PQJbyZfPihiH9t8eIXfU84pb3BQLd3_t3-DrPQw-U</recordid><startdate>20010401</startdate><enddate>20010401</enddate><creator>Marquardt, R. Wolff, A. Sager, A. Hartung, R. Lorenz, G.</creator><general>Informa UK Ltd</general><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7TK</scope><scope>7X8</scope></search><sort><creationdate>20010401</creationdate><title>Manual stereotactic aspiration of spontaneous deep-seated intracerebral haematomas in non-comatose patients</title><author>Marquardt, R. Wolff, A. Sager, A. Hartung, R. Lorenz, G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-71bae37b185e5d5ac5c777ce0021eb226f79e47974f3fa5ca1afab9ad9a02f2d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Arterial Hypertension Basal Ganglia Intracerebral Haematoma Stereotactic Aspiration</topic><topic>Basal Ganglia Diseases - diagnostic imaging</topic><topic>Basal Ganglia Diseases - surgery</topic><topic>Biological and medical sciences</topic><topic>Brain</topic><topic>Chi-Square Distribution</topic><topic>Female</topic><topic>Hematoma - diagnostic imaging</topic><topic>Hematoma - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical procedures</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurosurgery</topic><topic>Patients</topic><topic>Skull, brain, vascular surgery</topic><topic>Statistics, Nonparametric</topic><topic>Suction - methods</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Tomography, X-Ray Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marquardt, R. Wolff, A. Sager, A. Hartung, R. Lorenz, G.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Neurosciences Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marquardt, R. Wolff, A. Sager, A. Hartung, R. 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The haematoma was manually aspirated with a syringe device in different depths in regard to the target-points, and mean proportion aspirated was 90.2%. The level of consciousness improved markedly and GCS scores after stereotactic surgery were significantly higher than those after medical treatment ( p <0.0001). Peri-ictal mortality was significantly reduced in the surgical group and with improved levels of consciousness, the patients were suitable for further rehabilitative treatment earlier. This resulted in a significantly reduced in-patient stay. Manual stereotactic aspiration of deep-seated intracerebral haematomas in the subacute stage proved to be a simple and safe method with high efficacy.</abstract><cop>Abingdon</cop><pub>Informa UK Ltd</pub><pmid>11360375</pmid><doi>10.1080/02688690120036810</doi><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN |
| subjects | Adult Aged Aged, 80 and over Arterial Hypertension Basal Ganglia Intracerebral Haematoma Stereotactic Aspiration Basal Ganglia Diseases - diagnostic imaging Basal Ganglia Diseases - surgery Biological and medical sciences Brain Chi-Square Distribution Female Hematoma - diagnostic imaging Hematoma - surgery Humans Male Medical procedures Medical sciences Middle Aged Neurosurgery Patients Skull, brain, vascular surgery Statistics, Nonparametric Suction - methods Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Tomography, X-Ray Computed |
| title | Manual stereotactic aspiration of spontaneous deep-seated intracerebral haematomas in non-comatose patients |
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