Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8691992 | World Neurosurgery | 2018 | 30 Pages |
Abstract
Radical resection of the cavernoma with severe symptoms might be recommended in elderly patients, especially in those with multiple rebleeding events. From the viewpoint of surgery, we consider the subacute phase the optimal time to remove cavernomas in elderly hemorrhagic patients. However, multiple rebleeding events might exacerbate the neurologic deficit. Therefore, the subacute phase from the first or second rebleeding might be the best time for the surgical resection. At surgical intervention, preservation of the surrounding brain should be prioritized over complete removal of the cavernoma and hematoma.
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Authors
Tetsuya Negoto, Shota Terachi, Yuko Baba, Shin Yamashita, Terukazu Kuramoto, Motohiro Morioka,