Advantages of Stereotaxic Aspiration of Intracerebral Hematoma Using Interventional Magnetic Resonance Imaging. New surgical method.

Accession number;00A0138285
Title;Advantages of Stereotaxic Aspiration of Intracerebral Hematoma Using Interventional Magnetic Resonance Imaging. New surgical method.
Author; TERAO TOORU (Jikei Univ. Kashiwa Hosp.) HASHIMOTO TAKUO (Jikei Univ. Kashiwa Hosp.) KOYAMA TSUTOMU (Jikei Univ. Kashiwa Hosp.) ISHIBASHI TOSHIHIRO (Jikei Univ. Kashiwa Hosp.) MORITA TAKU (Jikei Univ. Kashiwa Hosp.) HARADA JUNTA (Jikei Univ. Kashiwa Hosp.) ABE TOSHIAKI (Jikei Univ. School of Medicine)
Journal Title;Neurol Surg
Journal Code:Z0684A
ISSN:0301-2603
VOL.28;NO.1;PAGE.41-45(2000)
Figure&Table&Reference;FIG.4, REF.14
Pub. Country;Japan
Language;Japanese
Abstract;We describe the usefulness of stereotaxic surgery in the brain with special focus on aspiration of intracerebral hematoma using interventional MRI (0.3 Tesla; Hitachi, Japan). A 62-year-old female was admitted to our hospital with sudden right incomplete hemiparesis. A CT scan on admission showed a high-density mass in the left putamen. Soon after admission, her consciousness gradually decreased and the incomplete hemiparesis quickly worsened, so we promptly initiated an operation for stereotaxic aspiration of an intracerebral hematoma. During the surgery, real-time monitoring by MR-fluoroscopy depicted the gradual decrease of the hematoma. Postoperatively, her consciousness recovered to an almost alert level, but her right hemiparesis was unchanged. Stereotaxic aspiration of intracerebral hematoma using interventional MRI is advantageous because it enables accurate and safe evacuation of intracerebral hematoma in real time with no risk of irradiation during the procedure. (author abst.)
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