| Clinical Analysis of Neuronavigation Assisted Hematoma Drainage in Old Patients Presenting with Spontaneous ICH |
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Kyung-Ho Cha, Dong-Hyuk Park, Kyung-Jae Park, Shin-Hyuk Kang, Tai-Hyoung Cho, Yong-Gu Chung |
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Department of Neurosurgery, Korea University Medical Center, Korea University College of Medicine, Seoul, Korea, Center of Innovative Cell Therapy and Research, Anam Hospital, Korea University College of Medicine, Seoul, Korea |
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| Abstract |
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. |
| Key Words:
Neuronavigation, Intracerebral hemorrhage, Old age. |
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