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한승진,안명수,최창락 대한신경외과학회 1978 Journal of Korean neurosurgical society Vol.7 No.1
After evacuation of a chronic subdural hematoma, the expansion of compressed brain is usually delayed or untoward and that may be a grave prognostic sign. Recently we have experienced a case of chronic subdural hematoma to treat. Removal of large hematoma, obliteration of large clot cavity and restoration of brain position, are achived without resorting to drainage maneuvers or to undue lengthening of the procedure. Following this procedure, the patient revealed an uneventful postoperative course without any neurologic deficit.
최창락,안명수,이상철,박춘근 대한신경외과학회 1982 Journal of Korean neurosurgical society Vol.11 No.1
1980년 3월부터 6월까지 본원에서는 5예의 고혈압성 뇌출혈 환자에서 래원 즉시 촬영한 두개내 computerized axial tomogram을 이용하여 뇌출혈량과 부위를 계측한 다음 Trasyrol®100 Unit를 2~3일간, 50만 Unit를 5일간 정주하고 steroids, mannitol 또는 glycerol을 정주한 후 Tod-Well stereotaxic apparatus를 이용하여 국소 마취하에 뇌혈종을 제거하고 혈종 부위에 drain를 막아 계속적 배출을 시도하여 2~3주 후 CT scan을 시행하여 혈종이 제거된 것을 확인하면서 치료하였다. 이상과 같은 결과는 뇌정위적 방법으로 국소 마취하에 전신상태가 전신 마취에 견디기 어려운 예나 경제적으로 저렴한 비용으로 실시할 수 있어 좋은 방법으로 사려되어 보고하는 바이다. In 5 cases of intracerebral hematoma due to hypertensive hemorrhage or postcontused hemorrhage, stereotaxic evacuation of the hematoma in the brain was performed. CT scan was done for definite diagnosis, localization and coordinating target. In order to make possible the evacuation of coagulated hematomas through a simple burr hole, a specially designed instrument (Tod-Well stereotaxic guide) and infusion of proteolytic enzyme (Trasyrol^(R)) were used. While we have treated these patients with antiedematous agent, it was possible to wait for 4-5 days to attempt in expectation of clot hematoma. Timing is of paramount important for success with this technique. Therefore CT scan must be done for the detection of characteristic of the blood clot state. This method is simple and it can be done under the local anesthesia. This stereotaxic evacuation method does not decrease high mortality rate of intracerebral hematoma, but morbidity of the patient was improved and this method offers a less bloody operation for patients with slightly neurological deficits presenting lesions in deep brain structures.