Effect of minimally invasive aspiration in treatment of massive intracerebral hemorrhage

Abstract

Objective: To observe the effect of minimally invasive aspiration combined with medication in patients with massive spontaneous intracerebral hemorrhage. Methods: Twenty-three patients with massive primary intracerebral hematoma (>50 mL), presenting with depressed consciousness, were recruited. Minimally invasive aspiration was applied within 72 h after onset, along with mannitol or furosemide to lower the intracranial pressure and symptomatic treatment. Results: Within 1 month after hemorrhage, three patients recovered to normal activity; the consciousness level of eight had improved; three patients remained stable; three patients had aggravated conditions and were discharged automatically (two with rehemorrhage and one with complications). Six patients died (hematoma volume of all patients was above 80 mL). Conclusions: Minimally invasive aspiration may be effective in patients with massive intracerebral hemorrhage, but it had a poor prognosis for those patients whose hematoma volume was above 80 mL. © 2011 Springer-Verlag/Wien.