Decompressive hemicraniectomy for spontaneous intracerebral hemorrhage

被引：56
作者：
Takeuchi, Satoru [1 ]
Wada, Kojiro [1 ]
Nagatani, Kimihiro [1 ]
Otani, Naoki [1 ]
Mori, Kentaro [1 ]
机构：
[1] Natl Def Med Coll, Dept Neurosurg, Tokorozawa, Saitama 3598513, Japan
来源：
NEUROSURGICAL FOCUS | 2013年 / 34卷 / 05期
关键词：
decompressive hemicraniectomy; surgery; intracerebral hemorrhage; MIDDLE CEREBRAL-ARTERY; ANEURYSMAL SUBARACHNOID HEMORRHAGE; MINIMALLY INVASIVE SURGERY; PLASMINOGEN-ACTIVATOR; MALIGNANT INFARCTION; SURGICAL-TREATMENT; CRANIECTOMY; TRIAL; EVACUATION; BRAIN;
D O I：
10.3171/2013.2.FOCUS12424
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Intracerebral hemorrhage (ICH) is devastating, with high mortality rates, but its optimum management has not been fully established. Decompressive hemicraniectomy is a surgical procedure used to relieve the malignant elevation of intracranial pressure. The application of decompressive hemicraniectomy in patients with hemispheric ICH has been much less common, although several studies have shown the usefulness of this procedure for large hemispheric ICH. In this review, the present knowledge of the safety and efficacy of this procedure are evaluated. The authors conclude that decompressive hemicraniectomy with hematoma evacuation for large ICH might be a safe and effective procedure in patients with severely disturbed consciousness and large hematoma volume.
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页数：6
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