AI Article Synopsis
- The study aimed to investigate the effectiveness of stereotactic aspiration surgery compared to conventional treatment for primary brainstem hemorrhages in 137 patients.
- Results showed a significantly lower 30-day mortality rate and better neurological recovery after 90 days for the stereotactic surgery group, although overall prognosis was similar to the conventional treatment group.
- The conclusion highlights that stereotactic aspiration surgery can notably decrease mortality and enhance neurological function in certain patients with primary brainstem hemorrhage.
Article Abstract
Objective: To explore the effect of stereotactic aspiration surgery and conventional treatment for primary brainstem haemorrhage.
Methods: The clinical data of 137 patients with primary brain stem haemorrhage (haematoma volume > 3 ml) from August 2014 to August 2022 at the First Hospital of Hebei Medical University were reviewed. Sixty-five patients were treated with stereotactic haematoma aspiration, and 72 patients were treated with conventional therapy. We followed up on patient survival after 30 days and the recovery of neurological function after 90 days. The recovery of neurological function was evaluated by the modified Rankin Scale (mRS) 90 days after treatment. The mortality and neurological recovery rates of the two treatments were compared and analysed.
Results: There was a significant difference in the 30-day mortality rate between the two treatment groups (p < 0.05). There was a significant difference in neurological function improvement after 90 days between the two treatment groups (P < 0.05). There was no significant difference between stereotactic aspiration and routine treatment in the prognosis of primary brainstem haemorrhage patients at 90 days after treatment (P > 0.05).
Conclusion: Stereotactic aspiration surgery for primary brain stem haemorrhage can significantly reduce mortality and improve the neurological function of some patients.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.clineuro.2023.108008 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Multimodal treatment paradigm for unstaged resection of a large cystic brain metastasis: illustrative case.
J Neurosurg Case Lessons
November 2024
Department of Neurological Surgery, Mayo Clinic, Rochester, Minnesota.
Background: The management of cystic brain metastases remains challenging, with high recurrence rates following treatment with resection and/or stereotactic radiosurgery (SRS). Tumor resection and adjuvant radiation provide superior outcomes in comparison to those for each therapy alone, but large cystic tumor en bloc removal is difficult. Cyst aspiration can be used to decrease the radiation target volume, enabling safer delivery of a therapeutic radiation dose with improved local tumor control.
View Article and Find Full Text PDFNavigating the Complexity of Thalamic Abscess: A Systematic Review of Case Studies and Evidence-Based Management.
Cureus
October 2024
Department of Surgery, Baghdad Teaching Hospital, Medical City Complex, Baghdad, IRQ.
Thalamic abscesses are rare, life-threatening conditions and represent only a few percent of the total cases of brain abscesses. Due to their deep location and critical involvement of sensory and motor pathways, they remain one of the most challenging entities to diagnose and manage. Despite advances in neuro-imaging and neurosurgical techniques, thalamic abscess continues to be a challenge or question in clinical practice regarding optimum treatment modality.
View Article and Find Full Text PDFStaged intervention to enable the resection of a large left temporoinsular cystic glioblastoma with language preservation: illustrative case.
J Neurosurg Case Lessons
October 2024
Department of Neurosurgery, NYU Grossman School of Medicine, New York.
Background: Resection of glioblastoma (GBM) in eloquent regions depends on functional mapping to limit perioperative neurological morbidity. When neurological deficits preclude reliable mapping, neurosurgeons should explore potential mitigation strategies. The authors present the case of a patient with a large left cystic temporoinsular GBM and aphasia, for whom the authors used intraoperative language mapping and a staged approach to enable safe tumor resection.
View Article and Find Full Text PDFStereotactic aspiration versus conservative management for primary brainstem hemorrhage: A systematic review and meta-analysis.
Clin Neurol Neurosurg
November 2024
Universitary Hospital of the Federal University of Piauí, Neurosurgery Department, Brazil. Electronic address:
Background: Primary brainstem hemorrhage (PBSH) is a fatal condition related to hypertension. PBSH definitive treatment remains controversial, mainly when surgical options are discussed.
Objective: To aid decision-making in PBSH scenarios, we aimed to perform a meta-analysis and evaluate the literature on stereotactic aspiration (SA) for PBSH in comparison to conservative management (CM).
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!