Therapeutic time window of minimally invasive surgery for intracerebral hemorrhage

被引：2

作者：

Guo, Guangyu ^{[1
]}

Guo, Wenliang ^{[1
]}

Feng, Yangyang ^{[1
]}

Deng, Hong ^{[1
]}

Zhang, Ping ^{[1
]}

Tang, Yingxin ^{[1
]}

Wu, Guofeng ^{[2
]}

Li, Qi ^{[3
]}

Pan, Chao ^{[1
]}

Tang, Zhouping ^{[1
]}

机构：

[1] Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Dept Neurol, Wuhan 430030, Peoples R China

[2] Guiyang Med Univ, Affiliated Hosp, Emergency Dept, Guiyang, Guizhou, Peoples R China

[3] Chongqing Med Univ, Dept Neurol, Affiliated Hosp 1, Chongqing, Peoples R China

来源：

BRAIN HEMORRHAGES | 2020年 / 1卷 / 03期

关键词：

Intracerebral hemorrhage; Therapeutic time window; Minimally invasive surgery; CONSERVATIVE TREATMENT; CEREBRAL-HEMORRHAGE; BRAIN-INJURY; STROKE; HEMATOMA; MODEL; METAANALYSIS; MECHANISMS; EVACUATION; TRIAL;

D O I：

10.1016/j.hest.2020.07.002

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Since mass effect and secondary brain injuries persist in the pathogenesis of intracerebral hemorrhage, hematoma evacuation within a limited time is reasonable. However, it is complex to define an accurate therapeutic time window (TTW) for hematoma evacuation. In this review, studies about TTW were dis-cussed from four aspects: histopathology, molecular pathophysiology, neuroimaging and clinical out-comes. Animal experiments indicated that 6-12 h is the pathophysiological TTW of minimally invasive surgery. Clinical trials suggested that there is a correlation between TTW and clinical outcomes, while the exact TTW is still unclear due to lack of sufficient clinical studies, which deserves further investigation.(c) 2020 International Hemorrhagic Stroke Association. Publishing services by Elsevier B.V. on behalf of KeAi Communications Co. Ltd. This is an open access article under the CC BY-NC-ND license (http://creati-vecommons.org/licenses/by-nc-nd/4.0/).

引用

页码：158 / 160

页数：3

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