Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage
Sixty-three patients admitted to 5 hospitals in 2014–2020 for the treatment of severe hypertensive brainstem hemorrhage by CT-guided and bone marker-oriented transcerebellar aspiration were enrolled in this study. The puncture accuracy, duration of hematoma removal, tracheal decannulation, postopera...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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KeAi Communications Co., Ltd.
2023-09-01
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| Series: | Brain Hemorrhages |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589238X23000116 |
| _version_ | 1797689479268401152 |
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| author | Danyang Chen Jinhua Yang Robert P. Ostrowski Yunjie Li Yuxiong Wang Zeyu Li Yong Yang Shiquan Li Jieming Li Simin Li Yonghui Xiong Shuisheng Rong Chao Pan Zhouping Tang |
| author_facet | Danyang Chen Jinhua Yang Robert P. Ostrowski Yunjie Li Yuxiong Wang Zeyu Li Yong Yang Shiquan Li Jieming Li Simin Li Yonghui Xiong Shuisheng Rong Chao Pan Zhouping Tang |
| author_sort | Danyang Chen |
| collection | DOAJ |
| description | Sixty-three patients admitted to 5 hospitals in 2014–2020 for the treatment of severe hypertensive brainstem hemorrhage by CT-guided and bone marker-oriented transcerebellar aspiration were enrolled in this study. The puncture accuracy, duration of hematoma removal, tracheal decannulation, postoperative complications, postoperative consciousness recovery time, Glasgow Outcome Scale (GOS) score, and prognosis outcome at follow-up were retrospectively analyzed. Additionally, the relationship between admission Glasgow Coma Scale (GCS) score and GOS score, and between hematoma volume and prognosis of patients was analyzed at follow-up. Results showed that CT localization–based and bone marker oriented transcerebellar hematoma aspiration in the treatment of severe hypertensive brainstem hemorrhage ensures high puncture accuracy, relatively low surgery risk, and good prognosis. The prognosis relates to the state of consciousness and hematoma volume. |
| first_indexed | 2024-03-12T01:46:07Z |
| format | Article |
| id | doaj.art-2abb2592f8b54054880a08cf2a6b9516 |
| institution | Directory Open Access Journal |
| issn | 2589-238X |
| language | English |
| last_indexed | 2024-03-12T01:46:07Z |
| publishDate | 2023-09-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Brain Hemorrhages |
| spelling | doaj.art-2abb2592f8b54054880a08cf2a6b95162023-09-09T04:56:10ZengKeAi Communications Co., Ltd.Brain Hemorrhages2589-238X2023-09-0143116121Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhageDanyang Chen0Jinhua Yang1Robert P. Ostrowski2Yunjie Li3Yuxiong Wang4Zeyu Li5Yong Yang6Shiquan Li7Jieming Li8Simin Li9Yonghui Xiong10Shuisheng Rong11Chao Pan12Zhouping Tang13Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurosurgery, Gaozhou Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Gaozhou, China; Yangjiang Jianghua Hospital, Yangjiang, ChinaDepartment of Experimental and Clinical Neuropathology, Mossakowski Medical Research Institute, Polish Academy of Sciences, Warsaw, PolandDepartment of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, ChinaDepartment of Neurosurgery, Gaozhou Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Gaozhou, ChinaDepartment of Neurosurgery, Gaozhou Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Gaozhou, ChinaDepartment of Neurosurgery, Sanya People's Hospital, Sanya, ChinaDepartment of Neurosurgery, Maoming Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Maoming, ChinaDepartment of Neurosurgery, Gaozhou Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Gaozhou, ChinaYangjiang Jianghua Hospital, Yangjiang, ChinaDepartment of Neurosurgery, Gaozhou Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Gaozhou, ChinaDepartment of Neurosurgery, Maoming Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Maoming, ChinaDepartment of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Corresponding authors at: Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China; Corresponding authors at: Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.Sixty-three patients admitted to 5 hospitals in 2014–2020 for the treatment of severe hypertensive brainstem hemorrhage by CT-guided and bone marker-oriented transcerebellar aspiration were enrolled in this study. The puncture accuracy, duration of hematoma removal, tracheal decannulation, postoperative complications, postoperative consciousness recovery time, Glasgow Outcome Scale (GOS) score, and prognosis outcome at follow-up were retrospectively analyzed. Additionally, the relationship between admission Glasgow Coma Scale (GCS) score and GOS score, and between hematoma volume and prognosis of patients was analyzed at follow-up. Results showed that CT localization–based and bone marker oriented transcerebellar hematoma aspiration in the treatment of severe hypertensive brainstem hemorrhage ensures high puncture accuracy, relatively low surgery risk, and good prognosis. The prognosis relates to the state of consciousness and hematoma volume.http://www.sciencedirect.com/science/article/pii/S2589238X23000116HypertensionBrainstem hemorrhageAspiration techniquePuncture |
| spellingShingle | Danyang Chen Jinhua Yang Robert P. Ostrowski Yunjie Li Yuxiong Wang Zeyu Li Yong Yang Shiquan Li Jieming Li Simin Li Yonghui Xiong Shuisheng Rong Chao Pan Zhouping Tang Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage Brain Hemorrhages Hypertension Brainstem hemorrhage Aspiration technique Puncture |
| title | Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage |
| title_full | Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage |
| title_fullStr | Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage |
| title_full_unstemmed | Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage |
| title_short | Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage |
| title_sort | clinical study of ct assisted positioning and bone marking oriented transcerebellar aspiration of brainstem hemorrhage |
| topic | Hypertension Brainstem hemorrhage Aspiration technique Puncture |
| url | http://www.sciencedirect.com/science/article/pii/S2589238X23000116 |
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