![Show Menu](styles/mobile-menu.png)
![Page Background](./../common/page-substrates/page0011.png)
Page 62
allied
academies
August 14-16, 2017 | Toronto, Canada
BRAIN DISORDERS AND DEMENTIA CARE
4
th
International Conference on
Neurosurg, an open access journal
ISSN: 2471-9633
T
his was a prospective and interventional type of study
conducted in the Neurosurgery Department of Dhaka
Medical College Hospital (DMCH), Dhaka from July 2010
to December 2010 with a sample size of 30 to observe the
presenting feature, radiological findings and complications
of burr-hole aspiration of intracerebral haematoma by using
urokinase. Purposive sampling technique was used using
a semi-structured data collection sheet designed for this
study. Equipments used for the study were CT scan, soft
catheter and standard burr-hole instrument. It was observed
that 73% of the cases were within 9-12 GCS. Basal ganglia
were involved in about 77% cases while fronto parietal lobe
was involved in only 3% cases. CT scan revealed that half
[15 (50.00%)] of the patient’s haematoma was in the left
hemisphere. Without considering the volume of extension
into the ventricles, the average intracerebral haematoma
volume was 41.43 ml and the volume ranged from 20.0
to 80.0 ml. [18 (60.0%)] of the patients had ventricular
extension of the haematoma. Three-fifth of the haematomas
were complicatedwith ventricular extension. More than one-
fourth of the patients [8 (26.67%)] died before 3rd POD. In a
single (3.33%) patient GCS decreased. Out of the remaining
21 cases, GCS increased 1 to 5 points. Pneumocephalous
was the complication in about 17% cases, while accidental
catheter withdrawal and aspiration pneumonia were the
complications in about 7% each. It was revealed that 50%
deaths were due to respiratory failure and all these deaths
were before 3rd POD. Involvement of different areas of the
cerebral hemisphere had strong association in outcome,
when only death was considered; i.e. only 14.3% patients
with cortical haematoma died on the contrary, 85.7%patients
with ICH in the basal ganglia with ventricular extension (3 or
more ventricles) died. Early treatment (within 24 hours of
occurrence) by using minimally invasive technique and clot
removal by urokinase mediated clot lysis can improve the
consequences especially those with haematoma volume <40
ml, lobar haematoma and without ventricular extension.
e:
drmnh2003@gmail.comClinical and radiological presenting features and post-operative complications of intracerebral
haematoma by burr-hole operation using urokinase
Mohammad Nazrul Hossain
1
, Israt Zerin Eva
2
, Junayed Ahmad
1
, Nazmul Hassan Saki1
and
Saniath Ahmad Salehin
1
1
Jalalabad Ragib-Rabeya Medical College Hospital, Bangladesh
2
Dhaka Medical College Hospital, Bangladesh
Neurosurg 2017, 2:2
DOI: 10.21767/2471-9633-C1-006