BAZAL GANGLİON KAYNAKLI 4 CM VE ÜZERİ İNTRASEREBRAL HEMATOMLARDA UYGULANAN HİPERAKUT CERRAHİNİN SONUÇLARININ DEĞERLENDİRİLMESİ

Giriş: Supratentoryal bölgede bazal ganglion kaynaklı 4 cm ve üzerinde spontan intraserebral hematomsaptanarak 2 saat içinde kraniyotomi ile hematom drenajı ve dekompresyon yapılan hastalardaki cerrahisonuçlarımızı sunmak istiyoruz.Gereç ve Yöntem: 2016-2020 yılları arasında kliniğimizde sadece bazal ganglion bölgesinde ya da bazalgangliondan lober alana uzanım gösteren en az 4 cm ve üzeri intraserebral hematom sebebiyle acil cerrahiuygulanan hastalar retrospektif olarak değerlendirmeye alınmıştır. Hastalar demografik özellikler, cerrahi öncesiGlasgow koma skoru(GKS), intraventriküler hematom varlığı, lokalizasyon, intraserebral hematom skoru,hidrosefali varlığı ve Glasgow outcome skoru (GOS) açısından değerlendirilmiştir.Bulgular: Yirmibir hastanın 11'i(%52.4) kadın, 10'u (%47.6) erkekti. Başvuru GKS 6(%28.6) hastada 4, 2(%9.5)hastada 5, 4(%19.0) hastada 6, 2(%9.5) hastada 7, 3(%14.2) hastada 8, 1 (%4.7) hastada 9, 2 (%9.5) hastada11ve 1 (%4.7) hastada 12’ idi. Kanama tipi 9 hastada (%42.8) bazal ganglion kanaması ve 12 hastada (%57.1)lobar + bazal ganglion kanamasıydı.GOS 21 (% 100) hastada 1 olarak sonuçlandı.Sonuç: Bazal ganglion kökenli cerrahi boyuttaki kanamalarda, cerrahi tedavinin yararı tartışmalıdır.

EVALUATION OF THE RESULTS OF HYPERACUTE SURGERY FOR INTRACEREBRALHEMATOMAS 4 CM OR MORE IN SIZE ORGINATING FROM BASAL GANGLIA

Introduction: We would like to present our surgical results in patients who were found to have a spontaneous intracerebral hematoma 4 cm or more in size in supratentorial region originating from basal ganglia and underwent hematoma drainage and decompression with craniotomy within 2 hours.Material and methods: Patients who underwent emergency surgery between 2016 and 2020 at our clinic for an intracerebral hematoma 4 cm or more in size only in basal ganglia area or extending into lobar area from basal ganglia were retrospectively evaluated. The patients were assessed in terms of demographic characteristics, preoperative Glasgow Coma Score (GCS), intraventricular hematoma presence and localization, intracerebral hematoma score, hydrocephalus presence and Glasgow outcome score (GOS). Results:Of the 21 patients, 11(52.4%) were female and 10(47.6%) were male. Admission GCS was 4 in 6 (28.6%) patients, 5 in 2(9.5%) patient, 6 in 4(19,0%) patients, 7 in 2(9.5%) patients, 8 in 3 (14.2%) patients, 9(4.7%) in 1 patient, 11 in 2(9.5%) patients and 12 in 1(4.7%) patient.The hemorrhage type was basal ganglion hemorrhage in 9(42.8%) patients , and lobar + basal ganglion hemorrhage in 12(57.1%) patients.The GOS was 1 in 21(100%) patients.Conclusion:The benefit of surgical treatment is controversial in surgical-sized hematomas of basal ganglia origin.

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