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Zhonghua Yi Xue Za Zhi. 2012 Dec 18;92(47):3361-3.

[Trans-sylvian-insular approach endoscopic surgery for basal ganglia hypertensive hemorrhage].

[Article in Chinese]

Author information

  • 1Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China.



To explore the operative techniques and efficacy of trans-sylvian-insular approach endoscopic surgery for hypertensive basal ganglia hemorrhage.


A retrospective analysis was conducted in 54 patients with hypertensive basal ganglia hemorrhage from December 2009 to December 2011. All of them underwent neuroendoscopic surgery via a trans-sylvian-insular approach. The hematoma volume was 30 - 40 ml (n = 8), 40 - 50 ml (n = 42) and > 50 ml (n = 4). And the Glasgow Coma Scale (GCS) was 8 - 12 (n = 48) and 13 - 15 (n = 6).


The clearance rate of hematoma was > 90% (n = 44) and 80% - 90% (n = 10). None suffered re-hemorrhage or death.


As a mini-invasive and efficacious approach for hypertensive basal ganglia hemorrhage, trans-sylvian-insular approach endoscopic surgery has a high clearance rate of hematoma is high and causes minimal damage to normal brain tissue. It is worth of clinical promotion.

[PubMed - indexed for MEDLINE]
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