Surgical treatment of spontaneous intracerebral hemorrhage

1973 ◽  
Vol 39 (2) ◽  
pp. 145-151 ◽  
Author(s):  
Jean E. Paillas ◽  
Bernard Alliez
Keyword(s):  
Surgical Treatment ◽  
Intracerebral Hemorrhage ◽  
Cerebral Hemorrhage ◽  
Preoperative Diagnosis ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Content Type ◽  
Selection Of Patients ◽  
Selection Of ◽  
Fine Print

✓ The results of the surgical treatment of cerebral hemorrhage in 250 cases are reported. Preoperative diagnosis, the selection of patients, and the favorable moment to operate are discussed.

Radical one-stage correction of craniofacial anomalies

1975 ◽  
Vol 42 (5) ◽  
pp. 522-529 ◽  
Author(s):  
Fred J. Epstein ◽  
Donald Wood-Smith ◽  
John M. Converse ◽  
M. Vallo Benjamin ◽  
Melvin H. Becker ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Surgical Technique ◽  
Craniofacial Anomalies ◽  
Content Type ◽  
One Stage ◽  
Selection Of Patients ◽  
Selection Of ◽  
Fine Print

✓ The authors present their experience in the surgical treatment of 66 patients with craniofacial anomalies, and discuss selection of patients, surgical technique, complications, and results.

CT infusion scanning for the detection of cerebral aneurysms

1989 ◽  
Vol 71 (2) ◽  
pp. 175-179 ◽  
Author(s):  
David W. Newell ◽  
Peter D. LeRoux ◽  
Ralph G. Dacey ◽  
Gary K. Stimac ◽  
H. Richard Winn
Keyword(s):  
Intracerebral Hemorrhage ◽  
Ct Scan ◽  
Computerized Tomography ◽  
Cerebral Aneurysms ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Content Type ◽  
Spontaneous Hemorrhage ◽  
Fine Print

✓ Computerized tomography (CT) infusion scanning can confirm the presence or absence of an aneurysm as a cause of spontaneous intracerebral hemorrhage. Eight patients who presented with spontaneous hemorrhage were examined using this technique. In five patients the CT scan showed an aneurysm which was later confirmed by angiography or surgery; angiography confirmed the absence of an aneurysm in the remaining three patients. This method is an easy effective way to detect whether an aneurysm is the cause of spontaneous intracerebral hemorrhage.

Metastatic choriocarcinoma with neoplastic aneurysms cured by aneurysm resection and chemotherapy

1992 ◽  
Vol 76 (1) ◽  
pp. 148-151 ◽  
Author(s):  
Takashi Fujiwara ◽  
Shogo Mino ◽  
Seigo Nagao ◽  
Takashi Ohmoto
Keyword(s):  
Surgical Treatment ◽  
Lung Metastasis ◽  
Cerebral Hemorrhage ◽  
Intensive Chemotherapy ◽  
Content Type ◽  
Metastatic Lesions ◽  
Aneurysm Resection ◽  
Fine Print

✓ A case of choriocarcinoma with brain and lung metastasis is reported. The patient was admitted for treatment of a cerebral hemorrhage from neoplastic aneurysms and, following removal of the hematoma and resection of the aneurysms, her carcinoma was successfully managed with chemotherapy. She has survived for 6 years after onset without neuroimaging evidence of recurrence. Surgical treatment of metastatic lesions followed by prolonged intensive chemotherapy are indicated for the improved prognosis of choriocarcinoma.

Two types of spontaneous intracerebral hemorrhage due to hypertension

1972 ◽  
Vol 37 (5) ◽  
pp. 509-513 ◽  
Author(s):  
Vladimír Beneš ◽  
František Koukolík ◽  
Dagmar Obrovsk´
Keyword(s):  
Intracranial Pressure ◽  
Conservative Treatment ◽  
Intracerebral Hemorrhage ◽  
Surrounding Tissue ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Hypertensive Patients ◽  
Content Type ◽  
Initial Shock ◽  
Postmortem Examinations ◽  
Fine Print

✓ Analysis of 150 postmortem examinations indicates that spontaneous intracerebral hemorrhage in hypertensive patients develops in two ways. In the first, hemorrhage crushes the surrounding tissue, tamponades the ventricles, and produces a fatal increase in intracranial pressure. Operation on such patients does not improve the results obtained by conservative treatment. In the second type, the hemorrhage is self-limited; the hematoma that frequently develops behaves as an expanding lesion, and operative treatment can be helpful after the initial shock interval has passed. Diagnostic differentiation of the two types is not possible immediately after the stroke.

Hematoma enlargement in spontaneous intracerebral hemorrhage

1994 ◽  
Vol 80 (1) ◽  
pp. 51-57 ◽  
Author(s):  
Yukihiko Fujii ◽  
Ryuichi Tanaka ◽  
Shigekazu Takeuchi ◽  
Tetsuo Koike ◽  
Takashi Minakawa ◽  
...  
Keyword(s):  
Intracerebral Hemorrhage ◽  
Ct Scan ◽  
Liver Dysfunction ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Content Type ◽  
Hematoma Enlargement ◽  
Coagulation Abnormalities ◽  
Hematoma Growth ◽  
Low Levels ◽  
Fine Print

✓ In order to evaluate the incidence and risk factors of hematoma enlargement in spontaneous intracerebral hemorrhage (ICH), 419 cases of ICH were reviewed. The first computerized tomography (CT) scan was performed within 24 hours of onset and the second within 24 hours of admission; a blood sample was taken for laboratory examination within 1 hour of admission. In 60 patients (14.3%) the second CT scan showed an enlarged hematoma. The incidence of enlargement significantly decreased with time (p < 0.05) and significantly increased with the severity of liver dysfunction and the volume of the hematoma on the first CT scan. Patients with an irregularly shaped hematoma had a higher risk of hematoma growth than those with a round hematoma. In addition, patients with hematoma enlargement were more likely to have coagulation abnormalities (low platelet counts and low levels of fibrinogen, α2-antiplasmin activity and platelet aggregation). Moreover, hematoma growth was associated with a poor clinical outcome. It is concluded that patients admitted to a hospital within 6 hours of onset of ICH, especially those admitted within 2 hours, and patients with liver dysfunction or irregularly shaped large hematomas should be closely observed for at least 6 hours after onset in preparation for emergency surgery, since the risk of hematoma growth in these circumstances is high.

Stereotaxic surgery for cerebral palsy

1974 ◽  
Vol 40 (5) ◽  
pp. 577-582 ◽  
Author(s):  
V. Balasubramaniam ◽  
T. S. Kanaka ◽  
P. B. Ramanujam
Keyword(s):  
Cerebral Palsy ◽  
Content Type ◽  
Involuntary Movements ◽  
Stereotaxic Surgery ◽  
Selection Of Patients ◽  
Selection Of ◽  
Fine Print

✓ An analysis of 94 cases of cerebral palsy treated by stereotaxic surgery is reported. The selection of patients and target areas for surgery are discussed. Hypertonic cases are classified into rigid, rigidospastic, and spastic types on the basis of surface electromyographic studies. For rigidity and rigidospasticity, ventrolateral thalamotomy gives relief, while spastic cases do well with dentatectomy. Centromedian thalamotomy relieves sensory-induced involuntary movements. Involuntary movements unaccompanied by changes in tone are abolished by lesions of the nucleus ventralis intermedius.

Intracerebral hemorrhage more than twice as common as subarachnoid hemorrhage

1993 ◽  
Vol 78 (2) ◽  
pp. 188-191 ◽  
Author(s):  
Joseph P. Broderick ◽  
Thomas Brott ◽  
Thomas Tomsick ◽  
Rosemary Miller ◽  
Gertrude Huster
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Mortality Rate ◽  
Confidence Interval ◽  
Intracerebral Hemorrhage ◽  
Annual Incidence ◽  
Laboratory Research ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Content Type ◽  
Fine Print

✓ The authors report a study of all instances of spontaneous intracerebral hemorrhage (ICH) (188 cases) and subarachnoid hemorrhage (SAH) (80 cases) that occurred in the Greater Cincinnati area during 1988. Adjusted for age, sex, and race, the annual incidence of ICH was 15 per 100,000 population (95% confidence interval 13 to 17) versus six per 100,000 for SAH (95% confidence interval 5 to 8). The incidence of ICH was at least double that of SAH for women, men, and whites and approximately 1½ times that for blacks. The 30-day mortality rate of 44% for ICH was not significantly different from the 46% mortality rate for SAH. Despite the evidence that ICH is more than twice as common and the disorder just as deadly as SAH, clinical and laboratory research continues to focus primarily on SAH.

Measurements of brain-stem auditory evoked potentials in patients with spontaneous intracerebral hemorrhage

1984 ◽  
Vol 60 (3) ◽  
pp. 548-552 ◽  
Author(s):  
Christianto B. Lumenta
Keyword(s):  
Glasgow Coma Scale ◽  
Intracerebral Hemorrhage ◽  
Evoked Potentials ◽  
Brain Stem ◽  
Auditory Evoked Potentials ◽  
Spontaneous Intracerebral Hemorrhage ◽  
Content Type ◽  
Different Types ◽  
The Brain ◽  
Fine Print

✓ Brain-stem auditory evoked potentials (BAEP's) were recorded in 19 patients with spontaneous intracerebral hemorrhage. More than half of the patients were deeply comatose. There was no correlation between BAEP changes and different types of spontaneous intracerebral hemorrhage or between BAEP's and coma grading by the Glasgow Coma Scale. However, BAEP's were a significant prognostic aid in these cases and useful in indicating the level of the brain-stem lesion.

Cushing's legacy to transsphenoidal surgery

1981 ◽  
Vol 54 (4) ◽  
pp. 448-454 ◽  
Author(s):  
Harold Rosegay
Keyword(s):  
Surgical Treatment ◽  
Pituitary Adenomas ◽  
Transsphenoidal Surgery ◽  
Preoperative Diagnosis ◽  
Content Type ◽  
Fine Print

✓ Cushing's experience with the surgical treatment of pituitary adenomas and other lesions producing the chiasmal syndrome is reviewed. The conclusion is that his ultimate rejection of the transsphenoidal route was not due to his dissatisfaction with this procedure, but rather came about because the transfrontal route provided him with access to the pituitary and, at the same time, enabled him to verify all suprasellar tumors if the preoperative diagnosis was uncertain. Until he gave it up in 1929, Cushing used the transsphenoidal route preferentially when the sella was large. Some of his assistants in the clinic, notably Norman Dott, came away with a high and lasting regard for the operation, and Dott's subsequent influence on Gérard Guiot is a crucial link in the return of transsphenoidal surgery to its current preeminent position.

Subdural hematoma as a complication of shunting procedures for normal pressure hydrocephalus

1972 ◽  
Vol 37 (5) ◽  
pp. 548-551 ◽  
Author(s):  
Stephen Samuelson ◽  
Don M. Long ◽  
Shelly N. Chou
Keyword(s):  
High Pressure ◽  
Normal Pressure Hydrocephalus ◽  
Subdural Hematoma ◽  
Normal Pressure ◽  
Content Type ◽  
High Incidence ◽  
Symptoms And Signs ◽  
Selection Of Patients ◽  
Selection Of ◽  
Fine Print

✓ The authors report five patients with normal-pressure hydrocephalus (NPH) who developed subdural hematomas following shunt procedures. None of the hematomas was directly related to surgery, and all appeared after the patients had shown initial clinical improvement; one was conceivably related to trauma. These patients appear to be especially susceptible to this complication, as the high incidence of 5 of 24 cases is not seen in the treatment of high-pressure hydrocephalus. The symptoms and signs of this complication, diagnosis, and treatment are described and emphasized. It is concluded that shunting procedures for NPH should not be undertaken lightly, and rigid criteria should be applied in the selection of patients to exclude other causes of dementia.

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