抄録
Two cases with putaminal hemorrhage which showed herniation sign 3 hours after the onset were reported.
One case operated 4 hours after the onset regained consciousness soon after the operation and could walk on stick after 3 months. The other case operated 19 hours after the ictus died 2 days after the operation. The cause of death was uncal herniation due to brain swelling, re-bleeding into the hematoma cavity and secondary hemorrhage of contralateral thalamus.
Based upon the difference between the clinical course of these 2 cases, we concluded as follows.
1.Emargency operation only can save the life of the patients with the putaminal hemorrhage who showed herniation sign soon after the attack.
2. The operative procedure is easy because the degree of the secondary brain damage is slight within 6 hours.
3. But the inprovement of motor disturbance of the upper extremity cannot be expected after the operation.
