1994 Volume 27 Issue 2 Pages 123-128
CT-guided stereotactic hematoma evacuation was performed on two cases of cerebral hemorrhage in hemodialysis patients. The first case, a 63-year-old male hemodialysis patient, had a left puterminal hemorrhage, the neurological grading was 3, and the CT-classification was III-a.
Surgery was performed on the second day following the attack.
The second case, a 59-year-old male hemodialysis patient, had a left thalamic hemorrhage, the neurological grading of which was 3, and the CT-classification was III-b. Surgery was performed 7 hours after the attack.
During neurological surgery on hemodialysis patients, CHDF (continuous hemodiafiltration) or PD (peritoneal dialysis) is recommended.
The risk facter for CT-guided stereotactic evacuation of a hematoma is low.
Therefore, we suggest, managing the general postoperative condition with HDF (hemodiafiltration) performed several times (4 to 6) per week, 3 hours per day.
CT-guided stereotactic hematoma evacuation is considered very effective.
