Santiago, Carlos Francis A. Perez, Martesio C. Debuque, Eusebio L. text monographic eng

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From December 1998 to September 1999, eight patients with hypertensive deep ganglionic intracerebral hematoma (ICH) underwent stereotactic aspiration of ICH with installation of thrombolytic agent and drainage of the remaining clot. The patients were 32 to 72 years old with GCS score of 5 to 10. The ICH was stereotactically aspirated at its center followed by intrahematoa instillation of thrombolytic agent every 12 hours for 6 to 8 doses. The patients improved post-surgery, initially the sensorium and later, motor strength. Post-operative CT scans showed progressive decrease in hematoma size. Long-term outcome was good with two patients already fit to work. This technique is performed for the first time in the Philippines and initial results are encouraging compared to conventional treatment of ICH. It is safe, minimally invasive, and uses local anesthesia, making more people amenable to the procedure. It promises to improve the outcome of deep ganglionic ICH patients. Carlos Francis A. Santiago [and two others] Makati Medical Center Proceedings, 1999 (13) pages 2-10 Anesthesia, Local Cerebral Hemorrhage surgery Hematoma surgery Stereotaxic Techniques Tomography, X-Ray Computed Stroke 210519 20210519101205.0 D0001J000649