지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2008.1
- 수록면
- 353 - 357 (5page)
이용수
초록· 키워드
오류제보하기
Objective : Many vascular neurosurgeons tend to remove bone flap in patients with large aneurysmal intracerebral hematomas (ICH). However, relatively little work has been done regarding the effectiveness of prophylactic decompressive craniectomy in a patient with a large aneurysmal ICH. Methods : Large ICH was defined as hematoma when its volume exceeded 25 mL, ipsilateral to aneurysms. The patients were divided into two groups; aneurysmal subarachnoid hemorrhage (SAH) associated with large ICH, January, 1994 - December, 1999 (Group A, 41 patients), aneurysmal SAH associated with large ICH, January, 2000 - May, 2005 (Group 8, 27 patients). Demographic and clinical variables including age, sex, hypertension, vasospasm, rebleeding, Hunt-Hess grade, aneurysm location, aneurysm size, and outcome were compared between two groups, and also compared between craniotomy and craniectomy patients in Group A. Results : In Group A. 21 of 41 patients underwent prophylactic decompressive craniectomy. In Group 8, only two patients underwent craniectomy. Surgical outcome in Group A (good 23, poor 18) was statistically not different from Group 8 (good 15, poor 12). Surgical outcomes between craniectomy (good 12, poor 9) and craniotomy cases (good 11, poor 9) in Group A were also comparable. Conclusion : We recommend that a craniotomy can be carried out safely without prophylactic craniectomy in patients with a large aneurysmal ICH if intracranial pressure is controllable with hematoma evacuation.
목차
등록된 정보가 없습니다.
참고문헌 (22)
참고문헌 신청
Andrews BT / 1988 / The effects of intracerebral hematoma location on the risk of brain-stem compression and on clinical outcome / J Neurosurg 69:518~522
Carter BS / 1997 / Oneyear outcome after decompressive surgery for massive nondominant hemispheric infarction / Neurosurgery 40:1168~1175
Cho DY / 2003 / Ultra-early decompressive craniectomy for malignant middle cerebral artery infarction / Surg Neurol 60:227~232
Cooper PR / 1979 / Enhancement of experimental cerebral edema after decompressive craniectomy : implications for the management of severe head injuries / Neurosurgery 4:296~300
Fisher CM / 1994 / Bilateral decompressive craniectomy for worsening coma in acute subarachnoid hemorrhage : observations in support of the procedure / Surg Neurol 41:65~74
Carter BS / 1997 / Oneyear outcome after decompressive surgery for massive nondominant hemispheric infarction / Neurosurgery 40:1168~1175
Cho DY / 2003 / Ultra-early decompressive craniectomy for malignant middle cerebral artery infarction / Surg Neurol 60:227~232
Cooper PR / 1979 / Enhancement of experimental cerebral edema after decompressive craniectomy : implications for the management of severe head injuries / Neurosurgery 4:296~300
Fisher CM / 1994 / Bilateral decompressive craniectomy for worsening coma in acute subarachnoid hemorrhage : observations in support of the procedure / Surg Neurol 41:65~74
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