Abstract
Background and Purpose: The significance of surgical treatment for putaminal hemorrhage has not been established. We reviewed the results of surgical treatment for putaminal hemorrhage in our institute, and compared them with that of conservative treatment obtained by subgroup analyses of the previous reports.
Methods: We retrospectively studied 156 consecutive putaminal hemorrhage patients who were admitted to Osaka Neurological Institute during a 2-year period. Surgery was indicated when a patient had hemorrhage volume equal or more than 31 ml, radiological finding of compression by the hemorrhage and more than moderate neurological deterioration. Patients who had hemorrhage volume equal to or more than 31 ml and underwent conservative treatment were extracted from two previous reports.
Results: Comparing the surgical group (51 cases) with the cases with conservative treatment in subgroup analyses (994 and 149 cases, respectively), the mortality rate was significantly lower in the surgical group and there was no significant difference in the rate of independence in ADL. However, the rate of ADL more than bedridden was significantly higher in the surgical group.
Conclusion: This study suggested that surgical treatment for putaminal hemorrhage might decrease the mortality and provide ADL more than bedridden.
