It evaluated the efficacy of percutaneous needle aspiration(PNA) in the evacuation of supratentorial hematoma in 22 patients with spontaneous intracerebral hemorrhage. All PNA patients had hematoma volume greater than 30ml as determined by computerized tomography image analysis. All patients underwent PNA within 12 hours of presentation. No perioperative complications were noted.
In intracerebral hemorrhage patients with hematoma volume > 30ml, survival was higher in patients who underwent PNA than in unmatched medically treated controls.
Survival was significantly higher in patients with 40%, or greater reduction in hematoma volume postevacuaton.
PNA may be a simple and effective method for improving outcome in intracerebral hemorrhage. It appears that survival may be related to the amount of blood removed during PNA.
Twelve cases of delayed traumatic intracerebral hematoma(DTICH) were found retrospectively among 826 patients with closed head injuries admitted to the Department of Neurosurgery, College of Medicine, Ewhe Womans University in a 2-year period. All cases had severe head injuries sustained with the head in motion. The interval from cranial injury to diagnosis of DTICH by computerized tomography(CT) varied from 15 hours to 11 days. The diagnosis was made on repeat CT scans obtained because of the development of focal findings, lack of improvement and/or general neurological deterioration. One patient had initially negative CT scans. Six patients demonstrated only extracerebral hematoma on initial CT scans. Two patients showed acute intracerebral hematoma on the initial scan followed by new hematomas on repeat study. Ten patients were treated surgically, and eight had fair & good results. The cases presented are discussed in the light of pertinent literature.
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