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Research Article | Open Access

Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage

Danyang Chena,1, Jinhua Yangb,c,1, Robert P. Ostrowskid, Yunjie Lia, Yuxiong Wangb, Zeyu Lib, Yong Yange, Shiquan Lif, Jieming Lib, Simin Lic, Yonghui Xiongb, Shuisheng Rongf, Chao Pana,2( ), Zhouping Tanga,2( )
Department of Neurology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China
Department of Neurosurgery, Gaozhou Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Gaozhou, China
Yangjiang Jianghua Hospital, Yangjiang, China
Department of Experimental and Clinical Neuropathology, Mossakowski Medical Research Institute, Polish Academy of Sciences, Warsaw, Poland
Department of Neurosurgery, Sanya People’s Hospital, Sanya, China
Department of Neurosurgery, Maoming Hospital of Traditional Chinese Medicine, Guangzhou University of Chinese Medicine, Maoming, China

1 These authors contributed equally to this work as co-first authors.

2 These authors contributed equally to this work as co-corresponding authors.

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Abstract

Sixty-three patients admitted to 5 hospitals in 2014–2020 for the treatment of severe hypertensive brainstem hemorrhage by CT-guided and bone marker-oriented transcerebellar aspiration were enrolled in this study. The puncture accuracy, duration of hematoma removal, tracheal decannulation, postoperative complications, postoperative consciousness recovery time, Glasgow Outcome Scale (GOS) score, and prognosis outcome at follow-up were retrospectively analyzed. Additionally, the relationship between admission Glasgow Coma Scale (GCS) score and GOS score, and between hematoma volume and prognosis of patients was analyzed at follow-up. Results showed that CT localization–based and bone marker oriented transcerebellar hematoma aspiration in the treatment of severe hypertensive brainstem hemorrhage ensures high puncture accuracy, relatively low surgery risk, and good prognosis. The prognosis relates to the state of consciousness and hematoma volume.

Keywords

HypertensionBrainstem hemorrhageAspiration techniquePuncture

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Brain Hemorrhages
Volume 4 Issue 3,
September 2023
Pages 116-121
DOI: 10.1016/j.hest.2023.03.001
Cite this article:
Chen D, Yang J, Ostrowski RP, et al. Clinical study of CT-assisted positioning and bone marking-oriented transcerebellar aspiration of brainstem hemorrhage. Brain Hemorrhages, 2023, 4(3): 116-121. https://doi.org/10.1016/j.hest.2023.03.001

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Received: 25 January 2023
Revised: 28 February 2023
Accepted: 08 March 2023
Published: 11 March 2023
© 2023 International Hemorrhagic Stroke Association.

This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
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