Stereotactic minimally invasive surgical treatment for hypertensive cerebellar hemorrhage

Objective To investigate the therapeutic effect of CT-guided stereotactic minimal invasive and drainage for hypertensive cerebellar hemorrhage. Methods Twenty-three cases of hypertensive cerebellar hemorrhage patients treated with stereotactic minimally invasive drainage were retrospectively analyzed in our hospital from January 2013 to June 2016, compared the efficacy with the other 23 patients who underwent posterior fossa craniotomy with hematoma removal at the same time period. The amount of bleeding of two groups were both 10~20 ml. The stereotatic group was given CT-guided stereotactic minimal invasive and drainage treatment, after operation, poured urokinase into the hematoma to dissolved it. The craniotomy group was performed posterior cranial fossa craniotomy after general anesthesia and the hemotoma was removaled by the microsurgery, after operation, the hemostasis, dehydration etc were given to the patients. Results The average hospitalization days of the stereotatic group was significantly shorter than the craniotomy group (P=0.01). The postoperative complication of the stereotatic group less than the craniotomy group (P=0.03). The emptying time of hematoma of the stereotatic group langer than the craniotomy group (P=0.04). The activities of daily living classification after six months treatment of the stereotatic group no statistical difference with the craniotomy group (P=0.33). Conclusion The stereotactic minimal invasive and drainage for cerebellar hemorrhage could achieve considerabl reset effect compare with the posterior cranial fossa craniotomy, and it was accurate positioning, little injury, less complication, shorter hospitalization and so on. The stereotactic minimal invasive and drainage for hypertensive cerebellar hemorrhage is worthy for the clinical popularization and application. Key words: Cerebral hemorrhage; Cerebal; Hypertension; Stereotaxis