OBJECTIVES: Since introduction of stereotactic aspiration and fibrinolysis into the treatment of deep-seated @entity1779 by Hondo and Matsumoto 1984 this method has become widely used, and satisfactory morphological results are achieved. Nevertheless, whether the outcome is improved has not yet been investigated. MATERIAL AND METHOD: 17 @entity1 with spontaneous @entity1779 have been treated surgically; after angiographic exclusion of a @entity1462 stereotactic aspiration and fibrinolysis with 3 mg rTPA was performed. Between 1992 and 1995 104 @entity1 were treated conservatively according to best medical treatment. From this group "matched pairs" with the surgical @entity1 were set up concurring in primary (consciousness, size and location of the @entity1410 ) and secondary parameters (age, sex, @entity548 ). Endpoint of the study was the Glasgow outcome score (GOS) six months after treatment. Data were analyzed statistically and p < 0.05 was considered significant. RESULTS: In respect of primary parameters complete concurrence and regarding secondary parameters far-reaching concurrence was achieved. In no parameter the surgical and conservative group were significantly different from each other. Six months after the ictus no significant difference between surgical and conservative treatment concerning GOS could be established. CONCLUSION: These results indicate that @entity1 do not benefit from stereotactic aspiration and fibrinolysis of putamenal @entity1410 . For a final treatment recommendation a prospective randomised trial is required.

Stereotactic aspiration and fibrinolysis of spontaneous supratentorial XXXX versus conservative treatment: a matched-pair study.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity548 :: ('MESH:D006470', 'Disease') :: ['ventricular hemorrhage'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematomas', 'hematoma'] @entity1779 :: ('MESH:D002543', 'Disease') :: ['intracerebral hematomas'] @entity1462 :: ('MESH:D054079', 'Disease') :: ['vascular malformation']
@entity1779 :: (MESH:D002543,Disease) :: ['intracerebral hematomas']
