Objectives: The aim of this study was to analyze efficacy and safety of decompressive hemicraniectomy (DHC) in hypertensive basal ganglia hemorrhage (HBGH). Neurosurgical management of HBGH is still a controversial issue. Surgical techniques are diverse, from the open large craniotomy, to the minimally invasive techniques like stereotactic aspiration of the HBGH, endoscopic evacuation and stereotactic catheter drainage after instillation of thrombolytic agents. Decompressive hemicraniectomy lowers intracranial pressure and improves outcome in patients with HBGH.Methods: 8 patients with HBGH who underwent decompressive craniectomy in the last 2 years were analyzed. Parameters investigated included clinical presentations, radiologic profile, time interval from ictus to surgery, and modified Rankin Scale score at 6 months.Results: The patients mean age 55 years, the mean Glasgow Coma Scale (GCS) score was 7 (range 513), the mean ICH volume was 58 ml (range 4070 ml), and the mean midline shift was 10.62 mm (range 6-16 mm). The outcome after 6 months was appreciated as good (modified Rankin Scale 04) or poor (modified Rankin Scale 5-6). Five patients had good and three had poor outcomes (including two deaths).Conclusion: We conclude, based on this small cohort, that DC can reduce mortality in some cases. Larger prospective studies are needed to assess safety and efficacy of this method.Pulse Vol.8 January-December 2015 p.38-42
| Mualliflar | Md Aliuzzaman Joarder, AKM Bazlul Karim, Shariful Islam Sujon, Nahid Akhter, Md Waheeduzzaman, Dorai Raj Krupa Shankar, Salim M. Jahangir, Mathew J. Chandy |
|---|---|
| Jurnal | PULSE |
| Nashr sanasi | 2016-06-06 |
| Jild | 8 |
| Son | 1 |
| Betlar | 38-42 |
| Til | en |
| DOI | 10.3329/pulse.v8i1.28100 |
DOI: 10.3329/pulse.v8i1.28100 · Maqolaning asl sahifasi · PDF
A 71 year old male patient was treated conservatively for subarachnoid haemorrhage with septic shock. The subclavian vein cannulation was done after starting mechanical ventilation and a pressure transducer was attached…
Age changes the vascular structure and function in the normal population, but it has a different effect on wave reflection and pulse wave transmission Many longitudinal studies have found that arterial stiffness…
A 30 year old nulligravida female reported to the fertility centre of AHD with the complaints of primary infertility for three and half years and spasmodic dysmenorrhoea. There is also history of progressively…
Stiffening of arteries occurs when the pressure load is transferred from distensible elastic structures to less distensible components in the arterial wall. The causes are multifactorial and complex, involving both…
Ulcerative colitis (UC) is a chronic idiopathic inflammatory disorder of colon. We are presenting a case of ulcerative colitis in a 12 yrs old girl who presented with passage of loose bloody stool, low grade…
Ovarian cysts during pregnancy are not uncommon. With increasing use of early antenatal ultrasound, the incidental discovery of adnexal masses during early gestation is a clinically relevant problem that requires…
Angiomyolipoma is a tumour composed of varying admixtures of bloodvessels, smooth muscles and adipose tissue.Renal angiomyolipoma can be unilateral or bilateral. Bilateral angiomyolipoma has a very strong association…
Objective: This article serves to promote the interest of participants involved in management of hematological malignancies in the efficacy of flow cytometry in the immunophenotypic characterization of leukemias and…
Physical activity (PA) is a key element in the prevention and management of type 2 diabetes but it is now well established that participation in regular PA improves blood glucose control and can prevent or delay the…