Puncture aspiration and local fibrinolysis in the surgery of primary non-traumatic intracranial hemorrhages
Krylov, V.V.; Burov, S.A.; Dash'ian, V.G.; Galankina, I.E.
Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova 108(10): 26-30
2008
ISSN/ISBN: 1997-7298 PMID: 19008848 Document Number: 619636
A possibility of evacuation of primary non-traumatic intracranial hematomas with less traumatic effect using puncture aspiration and local fibrinolysis has been studied in 73 patients aged 23-69 years. It has been shown that this method allows an effective (up to 95% of initial volume) evacuation of hypertensive hematomas in most patients. The evacuation of hemorrhage is accompanied by the significant regress of movement disorders already in the early post-operative period that promotes shortening of treatment time in patients with hemorrhage stroke. The positive changes of neurological status are supported by the morphological data on the induction of reparative processes in the perifocal brain tissue against the background of focal fibrinolysis. The reduction of post-operative fatal cases (from 35 to 23%) allows a recommendation of the method described in surgery of hypertensive hemorrhages.