Medicine · 2019
Surgical treatment of spontaneous brainstem hemorrhage: A case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Hao Guangshan, Xu Zhentao, Zhu Jianxin
Аннотация
RATIONALE: The improvement of microneurosurgery and neuroimaging, as well as neuronavigation and neurophysiological monitoring, enables neurosurgeons to safely and accurately resect lesions on the brainstem.
PATIENT CONCERNS: A 54-year-old man, with 2-year history of hypertension, presented with sudden loss of consciousness for 1.5 hours.
DIAGNOSES: Spontaneous brainstem hemorrhage.
INTERVENTIONS: We performed posterior fossa decompression together with hematoma evacuation in the super early stage for the patient.
OUTCOMES: The patient regained normal spontaneous breathing function after surgery. And he needed help for daily activities with hemiplegia of right limb at three-month follow-up.
LESSONS: The hematoma evacuation together with posterior fossa decompression in the super early stage maybe a good treatment for patients in a deep coma with a large hematoma at the dorsal side.
PATIENT CONCERNS: A 54-year-old man, with 2-year history of hypertension, presented with sudden loss of consciousness for 1.5 hours.
DIAGNOSES: Spontaneous brainstem hemorrhage.
INTERVENTIONS: We performed posterior fossa decompression together with hematoma evacuation in the super early stage for the patient.
OUTCOMES: The patient regained normal spontaneous breathing function after surgery. And he needed help for daily activities with hemiplegia of right limb at three-month follow-up.
LESSONS: The hematoma evacuation together with posterior fossa decompression in the super early stage maybe a good treatment for patients in a deep coma with a large hematoma at the dorsal side.