Preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the Hospital of Mali (23 cases)
Introduction: Spontaneous intracerebral haemorrhage (ICH) is a rupture of blood vessels in the brain parenchyma, in the absence of any underlying structural vascular lesion. It’s destructive and associated with a high mortality rate. There is a specific threshold of hematoma evacuation to impact mo...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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London Academic Publishing
2023-03-01
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| Series: | Romanian Neurosurgery |
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| Online Access: | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2367 |
| _version_ | 1827986537903554560 |
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| author | Mahamadou Dama Oumar Diallo Oumar Coulibaly Daouda Sissoko Theodore Maxim Coulibaly Kalba Tembine Thomas Coulibaly Fengqiang Liu Cisse El Hassimi Mohamed Drissa Kanikomo |
| author_facet | Mahamadou Dama Oumar Diallo Oumar Coulibaly Daouda Sissoko Theodore Maxim Coulibaly Kalba Tembine Thomas Coulibaly Fengqiang Liu Cisse El Hassimi Mohamed Drissa Kanikomo |
| author_sort | Mahamadou Dama |
| collection | DOAJ |
| description |
Introduction: Spontaneous intracerebral haemorrhage (ICH) is a rupture of blood vessels in the brain parenchyma, in the absence of any underlying structural vascular lesion. It’s destructive and associated with a high mortality rate. There is a specific threshold of hematoma evacuation to impact mortality or functional outcome in ICH even the curative effect of minimally invasive hematoma removal for cerebral haemorrhage has not been fully recognized worldwide. We aim to evaluate surgical performance on hematoma volume and functional outcomes of patients.
Methods: This study is a retrospective and observational clinical study. A total of 30 ICH patients were treated in the Department of neurosurgery at the Hospital of Mali from December 2019 to November 2020. Minimal invasive puncture hematoma removal was performed in all the patients. The modified Rankin scale (mRS) was used to assess functional outcomes at 6 months and one year of surgery. Was considered poor functional outcome mRS >3. The percentages (%) of the count data were assessed by Fisher’s exact test by SPSS 23.0 software was used.
Results: A total of 23 ICH patients met the inclusion criteria, the mean was 47,78 years. Among the risk factors, the HTA is present in 91,3% of patients. The evacuation was satisfactory in 91.30% of cases.
Conclusion: This first study of minimally invasive stereotaxic for ICH evacuation must be followed up and encouraged. Even if the results are satisfactory, a double-blind study is required in the largest sample.
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| first_indexed | 2024-04-09T23:32:57Z |
| format | Article |
| id | doaj.art-6e19ee808cf249fc844e71b3eb1d1e8c |
| institution | Directory Open Access Journal |
| issn | 1220-8841 2344-4959 |
| language | English |
| last_indexed | 2024-04-09T23:32:57Z |
| publishDate | 2023-03-01 |
| publisher | London Academic Publishing |
| record_format | Article |
| series | Romanian Neurosurgery |
| spelling | doaj.art-6e19ee808cf249fc844e71b3eb1d1e8c2023-03-21T00:38:25ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592023-03-01371Preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the Hospital of Mali (23 cases)Mahamadou DamaOumar DialloOumar CoulibalyDaouda SissokoTheodore Maxim CoulibalyKalba TembineThomas CoulibalyFengqiang LiuCisse El Hassimi MohamedDrissa Kanikomo Introduction: Spontaneous intracerebral haemorrhage (ICH) is a rupture of blood vessels in the brain parenchyma, in the absence of any underlying structural vascular lesion. It’s destructive and associated with a high mortality rate. There is a specific threshold of hematoma evacuation to impact mortality or functional outcome in ICH even the curative effect of minimally invasive hematoma removal for cerebral haemorrhage has not been fully recognized worldwide. We aim to evaluate surgical performance on hematoma volume and functional outcomes of patients. Methods: This study is a retrospective and observational clinical study. A total of 30 ICH patients were treated in the Department of neurosurgery at the Hospital of Mali from December 2019 to November 2020. Minimal invasive puncture hematoma removal was performed in all the patients. The modified Rankin scale (mRS) was used to assess functional outcomes at 6 months and one year of surgery. Was considered poor functional outcome mRS >3. The percentages (%) of the count data were assessed by Fisher’s exact test by SPSS 23.0 software was used. Results: A total of 23 ICH patients met the inclusion criteria, the mean was 47,78 years. Among the risk factors, the HTA is present in 91,3% of patients. The evacuation was satisfactory in 91.30% of cases. Conclusion: This first study of minimally invasive stereotaxic for ICH evacuation must be followed up and encouraged. Even if the results are satisfactory, a double-blind study is required in the largest sample. http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2367evacuationhaematomaminimallystereotacticsurgery |
| spellingShingle | Mahamadou Dama Oumar Diallo Oumar Coulibaly Daouda Sissoko Theodore Maxim Coulibaly Kalba Tembine Thomas Coulibaly Fengqiang Liu Cisse El Hassimi Mohamed Drissa Kanikomo Preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the Hospital of Mali (23 cases) Romanian Neurosurgery evacuation haematoma minimally stereotactic surgery |
| title | Preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the Hospital of Mali (23 cases) |
| title_full | Preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the Hospital of Mali (23 cases) |
| title_fullStr | Preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the Hospital of Mali (23 cases) |
| title_full_unstemmed | Preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the Hospital of Mali (23 cases) |
| title_short | Preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the Hospital of Mali (23 cases) |
| title_sort | preliminary results of minimally invasive stereotaxic surgery of intraparenchymal hematomas at the hospital of mali 23 cases |
| topic | evacuation haematoma minimally stereotactic surgery |
| url | http://journals.lapub.co.uk/index.php/roneurosurgery/article/view/2367 |
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