Neurosurgical aspects of sedimentation levels in acute intracerebral haematoma

Jun Hyeok Song, Myung Hyun Kim, Kyu Mann Shin, Hye Young Choi, Woo Hyuk Song

Research output: Contribution to journalArticle

Abstract

We describe the neurosurgical aspects of sedimentation levels that are rarely found in acute intracerebral haematomas (ICH). We had four patients with acute ICH whose cerebral computed tomography revealed sedimentation levels. Two patients had received thrombolytic therapy for ischaemic heart disease and one for ischaemic stroke. Another patient, who was diagnosed later as having a coagulation disorder, did not have any medical history on admission. All patients had emergency ICH drainage under local anaesthesia. In the immediate postoperative period, we observed dramatic improvement in all the patients, without surgical complications. The sedimentation level in an ICH should be identified as a specific indicator of a coagulation defect and a thorough search for possible underlying coagulopathy is warranted. We believe that simple ICH drainage should be performed as the haematoma is in a liquid form.

Original languageEnglish
Pages (from-to)406-408
Number of pages3
JournalJournal of Clinical Neuroscience
Volume5
Issue number4
DOIs
Publication statusPublished - 1998

Keywords

  • Coagulopathy
  • Intracerebral haematoma
  • Neurosurgery
  • Sedimentation level
  • Stroke

ASJC Scopus subject areas

  • Surgery
  • Neurology
  • Clinical Neurology
  • Physiology (medical)

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