Takanashi Y, Shinonaga M
Division of Neurosurgery, Hiratsuka Kyousai Hospital, Japan.
No To Shinkei. 1998 Aug;50(8):751-4.
We report two cases with hypertensive cerebellar hemorrhage who were successfully treated with frameless stereotaxic aspiration. First case, an 85-year-old man with hypertension had a large-sized hematoma in left cerebellar hemisphere. Emergency aspiration for cerebellar hemorrhage was carried out through a suboccipital burr hole. He had a good recovery at discharge. Second case, an 84-year-old female with hypertension showed right cerebellar hemorrhage. She had been in somnolence state for one month with conservative treatment. Then, aspiration surgery for the hematoma was carried out through a suboccipital burr hole. Her neurological condition was ameliorated. Frameless stereotaxic aspiration for cerebellar hemorrhage through suboccipital burr hole is less invasive and useful procedure, especially for elderly patients.
我们报告了两例高血压性小脑出血患者，通过无框架立体定向抽吸术成功治疗。第一例，一名85岁患有高血压的男性，左侧小脑半球有一个大血肿。通过枕下钻孔进行了小脑出血的紧急抽吸术。他出院时恢复良好。第二例，一名84岁患有高血压的女性出现右侧小脑出血。经过一个月的保守治疗，她一直处于嗜睡状态。然后，通过枕下钻孔进行了血肿抽吸手术。她的神经状况得到了改善。通过枕下钻孔进行无框架立体定向小脑出血抽吸术是一种侵入性较小且有用的手术，尤其适用于老年患者。
