FADRUS, Pavel, Karel MÁCA, Tomáš SVOBODA and Vladimír SMRČKA. Intracranial pressure - monitoring during stereotactic evacuation of infratentorial hematomas. In 31. Šerclovy dny : Abstrakta. Harrachov: Neurologická klinika FN v Hradci Králové, 2003, p. 51-51. ISBN 80-239-0104-4.
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Basic information
Original name Intracranial pressure - monitoring during stereotactic evacuation of infratentorial hematomas
Authors FADRUS, Pavel (203 Czech Republic), Karel MÁCA (203 Czech Republic), Tomáš SVOBODA (203 Czech Republic) and Vladimír SMRČKA (203 Czech Republic, guarantor).
Edition Harrachov, 31. Šerclovy dny : Abstrakta, p. 51-51, 1 pp. 2003.
Publisher Neurologická klinika FN v Hradci Králové
Other information
Original language English
Type of outcome Proceedings paper
Field of Study 30000 3. Medical and Health Sciences
Country of publisher Czech Republic
Confidentiality degree is not subject to a state or trade secret
RIV identification code RIV/00216224:14110/03:00008589
Organization unit Faculty of Medicine
ISBN 80-239-0104-4
Keywords in English Intracranial pressure; stereotactic evacuation of infratentorial hematomas
Tags Intracranial pressure
Changed by Changed by: Olga Pazderková, učo 46958. Changed: 23/2/2004 12:36.
Abstract
The autors presents a series of 14 patients with spontaneous intracerebellar hematomas evacuated by frame based stereotactic technique, in 4 patients we have measured intracranial pressure (ICP) during stereotactic evacuation. This method was indicated in patientswith stabil neurological status according ro Glasgow Coma Scale (GCS) in patients with GCS more than 8. The period between hemorhagy and operation was less than 24 hours in 14% patients, the rest of them was operated in period from 24 to 72 hours. In this study 85% od patients had initial decompensated hypertension and 43% of patients had initial coagulopathy. We have used frame based stereotaxy with Riechert-Mundinger apparatus with CT localisation of target and optimal trejectory. Out of 14 patient cosidered, the immediate postoperative improvement of the neurological status was found in 64%, no change in 29% and deterioration in 7% od patients. The relationship between the peroperative ICP and the size of hematoma on CT scan and the time of operation was studied to evaluate their influence on the therapeutic results.
Links
ND6862, research and development projectName: Monitorování intraparenchymového a intrahematomového tlaku při sterotaktické evakuaci u spontánních mozkových krvácení
Investor: Ministry of Health of the CR, Monitoring of Intraparenchymal Pressure during Stereotactic Evacuation in Spontaneous Cerebral Haemorrhages
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