Clinical analysis of neuronavigation assisted hematoma drainage in old patients presenting with spontaneous ICH

초록

Objective This study investigated clinical results after neuronavigation-assisted hematoma drainage in patients presenting with spontaneous intracerebral hemorrhage (ICH) between ≥60 and ＜60 years of age. Method: Forty-seven patients were enrolled from January, 2004 to August, 2013. The patients were divided into two groups according to age, ≥60 years and ＜60 years. The characteristics of patient and hemorrhage were investigated. Variables such as age, sex, underlying diseases, medical history, hematoma volume, Glasgow coma scale (GCS) score and Glasgow outcome scale (GOS) score were then compared. Results Among the 47 patients, 16 patients were over 60 years, 31 patients were under 60 years. The the existence of intraventricular hemorrhage (IVH), and the past history of diabetes mellitus (DM) and anticoagulants taking were significantly different between the young age and old age groups (p-value＜0.05). GOS scores were also significantly different between these two groups even though initial GCS scores show similar levels. Conclusion Elderly patients showed poor prognosis than younger patients even though their initial neurological status were similar. The existence of IVH existence, DM, and antiplatelet agent taking history showed statistical differences in the old age ICH group after neuronavigation-assisted hematoma drainage. Because of the poor prognosis of elderly patients with cerebral hemorrhage, these factors should be considered and investigated carefully prior to planning management of these patients including operation.

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