RESULTS OF SURGICAL TREATMENT OF SUPRATENTORIAL STROKE INTRACEREBRAL HEMATOMAS
DOI:
https://doi.org/10.52754/16948610_2023_2_7Keywords:
cerebral infarction, acute infarction, microaneurysm, disability, hemorrhagic strokesAbstract
Hemorrhagic cerebral infarction is an acute infarction that occurs due to hemorrhage in the brain or subventricular membranes, causing damage to the central nervous system. The problem of acute cerebrovascular accident has high rates of mortality and disability. Hypertension plays an important role in the etiology of hemorrhagic strokes. Chronic arterial hypertension leads to damage to the perforating arteries of the brain and the formation of microaneurysms. The optimal surgical treatment of hemorrhagic strokes is still unclear. This study analyzes the results of surgical treatment of hemorrhagic strokes in order to improve approaches and determine their role in reducing mortality and improving functional outcomes. The study includes an analysis of the treatment results of 82 patients operated in republican hospitals of the Kyrgyz Republic. The treatment was carried out in 2019-2021 in the Department of Neurosurgery. Various methods of surgical intervention were used. The assessment of the patients' condition included the Glasgow Coma Scale and diagnostic methods such as CT and MRI of the brain.
In general, this study demonstrates the importance of early diagnosis and surgical intervention in stroke intracerebral hematoma. However, it also emphasizes that the results of surgery and recovery may vary depending on the size of the hematoma, the presence of dislocation, the state of consciousness and the presence of paresis or paralysis
References
Агзамов М.К., Берснев В.П., Иванова Н.Е, Арзикулов Т.Н. (2009) Хирургические методы удаления гипертензивных внутримозговых кровоизлияний. Бюллетень со РАМН. №2(136). С. 43-48.
Гусев Е.И., Скворцова В.И., Стаховская Л.В. (2003) Эпидемиология инсульта // Сonsilium medicum. — № 12. — С. 5—7;
Мамытов М.М., Ырысов К.Б., Уматалиев Р.А. (2013) Нейрохирургические аспекты сосудистых заболеваний головного мозга. (Учебно-методическое пособие под ред. М.М.Мамытова). – Бишкек, Алтын Тамга, – 68стр.
Свистов Д.В. (2002) Геморрагический инсульт. Практическая нейрохирургия: руководство для врачей [ под ред. Б.В. Гайдара]/ Д.В. Свистов, А.В Щеголев, О.В. Тихомирова, Б. П. Фадеев.¬– Спб: Гиппократ,–С.276–282.
Скворцова В.И., Крылов В.В., Стаховская Л.В., Гудкова В.В. (2005) Геморрагический инсульт // Этиология, патогенез, клинические проявления геморрагического инсульта. — М.: «ГЭОТАР-Медиа», — С. 190.;
Яриков А.В., Балябин А.В. Яшин К.С., Мухин А.С. (2015) Хирургические методы лечения стеноза сонных артерий. Современные технологии в медицине. №4. С. 189-200.
Яриков А.В, Морев А.В., Лавренюк А.Н. (2017) Современная хирургия нетравматических внутримозговых кровоизлияний. Вестник Северо-Западного государственного медицинского университета им. И.И. Мечникова. Т.9. - №4, - С. 67-74.
Blood pressure management in acute intracerebral hemorrhage: relationship between elevated blood pressure and hematoma enlargement / K. Ohwaki et al. // Stroke, 2014. – Vol. 35, N 6. – P. 1364-1367. DOI: https://doi.org/10.1161/01.STR.0000128795.38283.4b
Gregson B.A., Mendelow A.D. (2003) International Variations in Surgical Practice for Spontaneous Intracerebral Hemorrhage // Stroke. — Vol. 34. — P. 2593—2598. DOI: https://doi.org/10.1161/01.STR.0000097491.82104.F3
Hemphill J.C, Greenberg S.M, Anderson C.S. (2015) Guidelines for the Management of Spontaneous Intracerebral Hemorrhage: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association. Stroke: 46(7): 2032–2060. DOI: https://doi.org/10.1161/STR.0000000000000069
Mendelow D, Gregson B.A, Rowan E.N, Murray G.D, Gholkar A, Mitchell P.M. (2013) Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas (STICH II): a randomised trial. The Lancet. 382 (9890): 397–408. DOI: https://doi.org/10.1016/S0140-6736(13)60986-1
Starke R.M, Komotar R.J, Connolly E.S. (2014) A randomized clinical trial and meta-analysis of early surgery vs. initial conservative treatment in patients with spontaneous lobar intracerebral hemorrhage. Neurosurgery: 74 (2): N11–2. DOI: https://doi.org/10.1227/01.neu.0000442974.53712.26
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