Aspiration Surgery for Hypertensive Brain Hemorrhage in the Acute Stage

  • Keizo Matsumoto
  • Hideki Hondo
  • Keisuke Tomida


Hypertensive brain hemorrhage (HBH) occurs most commonly in the basal ganglia, the subcortex, the thalamus, the pons, and the cerebellum. Although its exact source and pathology are still controversial, it has been considered to be due to the pathological rupture of small arteries resulting from longstanding hypertension. The angiopathy involved has been named lipohyalinosis, hyaline arteriosclerosis, fibrinoid necrosis, or angionecrosis associated with milliary microaneurysm [8]. In many patients, HBH is associated with various complications, such as diabetes mellitus, pulmonary disorders, renal or heart failure, or gastrointestinal bleeding. Besides clinically manifested brain hemorrhage and these complications, we should be aware of other latent hypertensive angiopathies that many provoke additional unfavorable conditions in patients postoperatively.


Acute Stage Conventional Surgery Cerebellar Hemorrhage Poor Risk Patient Good Risk Patient 
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Copyright information

© Springer Japan 1988

Authors and Affiliations

  • Keizo Matsumoto
    • 1
  • Hideki Hondo
    • 1
  • Keisuke Tomida
    • 1
  1. 1.Department of Neurological Surgery, School of MedicineThe University of TokushimaTokushimaJapan

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