Complications of spontaneous hypertensive intracerebral hematoma in the basal ganglia with two skin incisions

Objective To compare the complications of spontaneous hypertensive intracerebral hematoma located in the basal ganglion after being treated with two different incision craniotomies.Methods The clinical data of 58 patients with spontaneous hypertensive intracerebral hematoma located in the basal ganglion,admitted to our hospital and performed hematoma resection from January 2010 to December 2011,were retrospectively analyzed; in these 58 patients,27 (group A) adopted expanded transpterional approach and the other 31 (group B) chose horseshoe-shaped incision around the extemal auditory canal.Results In all these 58 patients,one patient died and 57 survived.According to the activity of daily living test,18,26,8,5 and 1 patients were in grade Ⅰ,grade Ⅱ,grade Ⅲ,grade Ⅳ and grade Ⅴ,respectively.The complications of group A were as follows:epidural hematoma was noted in 3patients; blood spurting of the superficial temporal artery after being removed the stitches in 1 patient,and subcutaneous hydrops in 5 patients; the complications in group B only included temporal facial nerve injuries in 5 patients; the complication rate in group A was significantly higher than that in group B (x2=4.660,P=0.012).Conclusion Removal of hematoma of the basal ganglion using horseshoe-shaped incision craniotomy is the appropriate method enjoying fewer complications. Key words: Hypertensive intracerebral hemorrhage;  Basal ganglion;  Complication; Expanded transpterional approach;  Horseshoe-shaped incision