Experience to treating brain stem hemorrhage in 19 cases

doi:10.3877/cma.j.issn.2095-9141.2017.03.010

Abstract

Abstract:

Objective

To investigate the clinical manifestations, treatment and prognosis of brainstem hemorrhage.

Methods

A retrospective analysis of clinical data was made in 19 brain stem hemorrhage cases confirmed by CT from April 2011 to April 2013 in our hospital and compared the GCS score and the United States national institutes of health stroke scale (NIHSS) score before and after treatment.

Results

Brain stem hemorrhage can be acute timely found and accurate position in CT scan. According conservative treatment, 19 cases recovered in 8 cases (42.1%), improved in 6 cases (31.6%), plant survival in 3 cases (15.8%) and 2 deaths (10.5%). Brainstem failure, lung infection and other serious complications exist in death cases. On admission, GCS score was 7.2±3.6, NIHSS score was 31.2±12.1; discharge, GCS score was 9.5±3.8, NIHSS score was 10.3±7.5, GOS score was 3.6±1.2.

Conclusion

Imaging has an important role in the diagnosis of brain stem hemorrhage, postive conservative treatment, prevention of complications can improve the prognosis of brain stem hemorrhage.

Key words: Brainstem hemorrhage, Computed tomography, Clinical symptoms

Xuejian Wang. Experience to treating brain stem hemorrhage in 19 cases[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2017, 03(03): 169-171.

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