Subscribe to RSS
DOI: 10.1055/a-2235-5453
Robotic Frameless Stereotactic Aspiration with Thrombolysis for Primary Pontine Hemorrhage: A Therapeutic Evaluation of a Retrospective Cohort Study
Supported by: National Natural Sci-ence Foundation of China 82001320Supported by: 1·3·5 project fordisciplines of excellence–Clinical Research Incubation Project, Sichuan University 2020HXFH036
Supported by: General Program of the National Natural Science Foundation of China 82173175
Supported by: Knowledge Innovation Program of the Chinese Academy of Sciences JH2022007
Supported by: Key R&D projects in Sichuan province 2022YFS0319
Introduction: It remains controversial whether primary pontine hemorrhage (PPH) should be managed conservatively or treated promptly via surgical evacuation of the hematoma. The purpose of this study was to assess the therapeutic effect of robotic frameless stereotactic aspiration with thrombolysis in the treatment of PPH. Methods: A total of 39 patients with PPH between January 2012 and November 2016 were included in the study. Sixteen patients with frameless stereotactic surgical treatment (ST group) and twenty-three patients with conservative treatment (CT group). Clinical and radiological parameters were assessed, and patient outcomes were analyzed over a 6-month follow-up period. Results: Surgical treatment did not result in any intracranial infections, or complications. Baseline characteristics did not significantly differ between the two groups. At discharge, the average Glasgow Coma Scale (GCS) score and the overall Glasgow Outcome Scale (GOS) score were significantly higher in the ST group compared to the CT group (P < 0.05). The mortality rate (GOS score 1) was significantly lower in the ST group (18.75%, 3/16) than in the CT group (52.17%, 12/23). For patients with hematoma volumes of 5-10 ml or GCS scores of 6-8, following treatment, the ST group exhibited markedly higher Glasgow Outcome Scale (GOS) scores in comparison to the CT group. Conclusion: In conclusion, our study suggests that robotic frameless stereotactic aspiration with thrombolysis is a safe and efficient method for the treatment of PPH. Patients with hematomas of 5-10 ml or GCS scores of 6-8 could benefit from surgery.
Publication History
Received: 19 July 2023
Accepted after revision: 20 December 2023
Accepted Manuscript online:
27 December 2023
© . Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany