Stereotactic Evacuation and Local Fibrinolysis of Spontaneous Intracerebral Hematomas

  • K. D. Lerch
  • D. Schäfer
  • J. Uelzen
Part of the Advances in Neurosurgery book series (NEURO, volume 21)


Since introduction of computerized tomography (CT) by Hounsfield in 1974 [4] soft tissue differentiation in the imaging of brain lesions has become self-evident; the differential diagnosis of the origin of stroke — infarction versus hemorrhage or versus hemorrhagic infarction — can be made immediately after the onset of the uniform symptomatology indicating a clinical entity. However, having obtained the concrete diagnosis of spontaneous intracerebral hematoma (ICH) the discussion as to what kind of treatment would be the best — conservative or operative — still remains controversial [3,12].


Glasgow Coma Scale Computerize Tomography Examination Intracerebral Hematoma Hematoma Evacuation Digital Substraction Angiography 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Backlund EO, von Holst H (1978) Controlled subtotal evacuation of intracerebral hematomas by stereotactic technique. Surg Neurol 9:99–101PubMedGoogle Scholar
  2. 2.
    Delank HW (1985) Neurologie. Enke, Stuttgart, p 22Google Scholar
  3. 3.
    Drake CG, Vinters HV (1985) Intracerebral hemorrhage. In: Plumm F, Pulsinelli W (eds) Cerebrovascular diseases. Raven, New YorkGoogle Scholar
  4. 4.
    Hounsfield GN (1973) Computerized transverse axial scanning (tomography). I. Description of system. Br J Radiol 46:1016–1022PubMedCrossRefGoogle Scholar
  5. 5.
    Jennett B, Teasdale J (1976) Predicting outcome in individual patients after severe head injury. Lancet 1:1031–1034PubMedCrossRefGoogle Scholar
  6. 6.
    Lerch KD (1992) Development of a new arc-centered stereotactic system with special regard to stereotactically guided microresection of deep-seated lesions. Neurosurgery (in press)Google Scholar
  7. 7.
    Lerch KD (1992) Percutaneous trephination with Kirschner’s wire and Steinmann’s Mail in stereotactical and ventricular drainage procedures. Neurosurgery (in press)Google Scholar
  8. 8.
    Matsumoto K, Hondo H (1984) Evacuation of hypertensive intracerebral hematomas. J Neurosurg 61:440–448PubMedCrossRefGoogle Scholar
  9. 9.
    Mohadjer M, Ruh E, Hittl DM, Neumüller H, Mundinger F (1988) CT-stereotactic evacuation and fibrinolysis of hypertensive intracranial hematoma. Fibrinolysis 2:43–48CrossRefGoogle Scholar
  10. 10.
    Mohadjer M, Braus DF, Krauss JK, Milios E, Birg W, Mundinger F (1990) CT-stereo-taktische Entleerung und Fibrinolyse der spontanen, vorwiegend hypertensiven intrakraniellen Massenblutungen — Langzeitergebnisse. Jahrb Neurochir 189–201Google Scholar
  11. 11.
    Nizuma H, Shimizu Y, Yonemits T, Nakazato N, Suzuki J (1989) Results of stereotactic aspiration in 175 cases of hemorrhage. Neurosurgery 24:814–819CrossRefGoogle Scholar
  12. 12.
    Ojemann RG, Heros RC (1983) Progress in cerebrovascular disease: spontaneous brain hemorrhage. Stroke 14:468–475PubMedCrossRefGoogle Scholar
  13. 13.
    Pan DHC, Lee LS, Chen MS, Manns AG (1986) Modified screw-and-suction technique for stereotactic evacuation of deep intracerebral hematomas. Surg Neurol 25:540–544CrossRefGoogle Scholar
  14. 14.
    Schütz HJ (1988) Spontane intrazerebrale Hämatome. Pathophysiologie, Klinik und Therapie. Springer, Berlin Heidelberg New YorkGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1993

Authors and Affiliations

  • K. D. Lerch
    • 1
  • D. Schäfer
    • 1
  • J. Uelzen
    • 1
  1. 1.Neurochirurgische Klinik der Städtischen KlinikenDortmund 1Germany

Personalised recommendations