Journal of Medical Sciences

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 40  |  Issue : 4  |  Page : 175--180

Clinical efficacy of minipterional craniotomy with rostral transsylvian-transinsular approach for hypertensive basal ganglion hemorrhage


Bon-Jour Lin1, Yi-An Chen2, Tzu-Tsao Chung3, Wei-Hsiu Liu3, Chi-Tun Tang3, Dueng-Yuan Hueng3, Yuan-Hao Chen3, Hsin-I Ma3, Ming-Ying Liu3, Hung-Chang Hung4, Da-Tong Ju3 
1 Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei; Department of Surgery, Nantou Hospital, Nantou, Taiwan
2 Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei; Department of Surgery, Taichung Armed Forces General Hospital, Taichung, Taiwan
3 Department of Neurological Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan
4 Department of Internal Medicine, Nantou Hospital, Nantou; Department of Healthcare Administration, Central Taiwan University of Science and Technology, Taichung, Taiwan

Correspondence Address:
Dr. Da-Tong Ju
Department of Neurological Surgery, Tri-Service General Hospital, No 325, Section 2, Cheng-Kung Road, Neihu 114, Taipei
Taiwan

Background: Clinical applications of transsylvian-transinsular (TS-TI) approaches to hypertensive basal ganglia hemorrhages (HBGHs) have an enormous difference in functional independence rate. The aim of this study is to investigate the clinical efficacy of minipterional craniotomy with rostral TS-TI approach to HBGH and compare functional independence rate with distal TS-TI variant. Methods: From April 2017 to April 2019, eleven patients with symptomatic HBGH accepting minipterional craniotomies with rostral TS-TI approaches were analyzed retrospectively. Results: The mean volume of preoperative hematoma was 57.08 ml with a 99.20% evacuation rate. Postoperative images revealed no rebleeding or newly developed hypodense lesion. Nine out of eleven patients got clear consciousness with functional independence at 3 months postoperatively. Conclusions: In comparison with distal TS-TI approach, minipterional craniotomy with rostral TS-TI approach to HBGH provides satisfactory outcome with higher functional independence rate.


How to cite this article:
Lin BJ, Chen YA, Chung TT, Liu WH, Tang CT, Hueng DY, Chen YH, Ma HI, Liu MY, Hung HC, Ju DT. Clinical efficacy of minipterional craniotomy with rostral transsylvian-transinsular approach for hypertensive basal ganglion hemorrhage.J Med Sci 2020;40:175-180


How to cite this URL:
Lin BJ, Chen YA, Chung TT, Liu WH, Tang CT, Hueng DY, Chen YH, Ma HI, Liu MY, Hung HC, Ju DT. Clinical efficacy of minipterional craniotomy with rostral transsylvian-transinsular approach for hypertensive basal ganglion hemorrhage. J Med Sci [serial online] 2020 [cited 2020 Sep 26 ];40:175-180
Available from: http://www.jmedscindmc.com/article.asp?issn=1011-4564;year=2020;volume=40;issue=4;spage=175;epage=180;aulast=Lin;type=0