Surgical treatment of spontaneous brainstem hemorrhage: A case report.

Abstract:

RATIONALE:The improvement of microneurosurgery and neuroimaging, as well as neuronavigation and neurophysiological monitoring, enables neurosurgeons to safely and accurately resect lesions on the brainstem. PATIENT CONCERNS:A 54-year-old man, with 2-year history of hypertension, presented with sudden loss of consciousness for 1.5 hours. DIAGNOSES:Spontaneous brainstem hemorrhage. INTERVENTIONS:We performed posterior fossa decompression together with hematoma evacuation in the super early stage for the patient. OUTCOMES:The patient regained normal spontaneous breathing function after surgery. And he needed help for daily activities with hemiplegia of right limb at three-month follow-up. LESSONS:The hematoma evacuation together with posterior fossa decompression in the super early stage maybe a good treatment for patients in a deep coma with a large hematoma at the dorsal side.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Hao G,Xu Z,Zhu J

doi

10.1097/MD.0000000000018430

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

e18430

issue

51

eissn

0025-7974

issn

1536-5964

pii

00005792-201912200-00068

journal_volume

98

pub_type

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