The Experts below are selected from a list of 318 Experts worldwide ranked by ideXlab platform

Lihong Li - One of the best experts on this subject based on the ideXlab platform.

  • surgical evacuation of spontaneous cerebellar hemorrhage comparison of safety and efficacy of suboccipital craniotomy Stereotactic Aspiration and thrombolysis and endoscopic surgery
    World Neurosurgery, 2018
    Co-Authors: Lihong Li, Yuqian Li, Zhihong Li, Bao Wang, Yanlong Yang, Rujuan Su, Feifei Xu, Xi Zhang, Qiang Tian, Xingye Zhang
    Abstract:

    Background Current surgical therapies for spontaneous intracerebellar hemorrhage (SCH) include suboccipital craniotomy (SC), Stereotactic Aspiration and thrombolysis (SAT), and endoscopic surgery (ES). Evidence comparing the therapeutic effects of these 3 methods is scarce. The safety and efficacy of SC, SAT, and ES for SCH are still uncertain. Methods 75 patients with SCH who received SC, SAT, or ES were reviewed retrospectively. Baseline parameters before the operation, evacuation rate, perihematoma edema, postoperative complications, and cumulative case fatalities were collected. Also, 12 months after ictus, the long-term functional outcomes in patients with regard to fourth ventricle compression and age were judged, respectively, by the modified Rankin Scale (mRS). Results The SAT was less effective in evacuating hematoma than were SC and ES. The perihematoma edema on postoperative day 7 and surgical complications were highest in the SC group. The functional outcome represented by mRS was better in the SAT group than in the SC and ES groups for patients with fourth ventricle compression grade 1. For patients with fourth ventricle compression grades 2 and 3, the ES group achieved the best functional outcome. Patients older than 60 years benefited less from SC than from ES and SAT. Conclusions SAT may be suitable for SCH patients with fourth ventricle compression grade 1, and ES may be suitable for SCH patients with fourth ventricle compression grades 2 and 3. Aged patients benefit less from SC than from SAT and ES.

  • computed tomography angiography spot sign as an indicator for ultra early Stereotactic Aspiration of intracerebral hemorrhage
    World Neurosurgery, 2018
    Co-Authors: Yuqian Li, Zhihong Li, Bo Tian, Xingye Zhang, Bao Wang, Yang Yang, Jiancai Wang, Yanlong Yang, Min Li, Lihong Li
    Abstract:

    Background Ultra-early surgical clot removal relieves mechanical compression on adjacent normal brain tissue and limits the toxic effects of a hematoma, which might improve the outcomes in patients with intracerebral hemorrhage (ICH); however, hematoma expansion frequently occurs within 20 hours after the ictus, and this limits the use of ultra-early surgery. Computed tomography angiography spot sign was recently validated as an important predictor of hematoma expansion in patients with ICH. Methods Fifty-nine patients with ICH and negative spot sign who received ultra-early Stereotactic Aspiration ( Results The percentage of rebleeding was not significantly different between the 2 groups. Perihematoma edema 7 days after surgery in the Ultra-early group was significantly less frequent than that in the Routine group. For long-term outcomes, the proportion of patient fatalities and Glasgow Outcome Scale score were not significantly different between the 2 groups; however, for patients with severe symptoms, the rate of good neurological outcome in the Ultra-early group was higher than that in the Routine group. Conclusions Ultra-early Stereotactic Aspiration might decrease the volume of perihematoma edema and improve the functional outcomes to some extent, without increasing the recurrence of ICH and patient fatalities. Our findings suggest that using negative spot sign as an indicator for performing ultra-early Stereotactic Aspiration could be a safe and effective protocol for ICH patients.

  • surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage comparison of safety and efficacy of Stereotactic Aspiration endoscopic surgery and craniotomy
    World Neurosurgery, 2017
    Co-Authors: Yuqian Li, Ruixin Yang, Zhihong Li, Yanping Yang, Bo Tian, Xingye Zhang, Bao Wang, Dan Lu, Yang Yang, Lihong Li
    Abstract:

    Background The safety and efficacy of craniotomy, endoscopic surgery, and Stereotactic Aspiration for surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage (ICH) is yet uncertain. The present study analyzed the clinical and radiographic data from 99 patients with spontaneous supratentorial lobar ICH, retrospectively, to address this issue. Methods Patients who underwent craniotomy, endoscopy surgery, or Stereotactic Aspiration were assigned to the craniotomy group (n = 31), endoscopy surgery group (n = 32), or Stereotactic Aspiration group (n = 36), respectively. The characteristics of all the enrolled patients at the time of admission were assimilated. Also, the therapeutic effects of the three surgical procedures were evaluated based on short-term outcomes within 30 days and long-term outcomes at 6 months after the ictus. Results The results showed that Stereotactic Aspiration and endoscopic surgery were associated with a superior clinical therapeutic effect in both short-term and long-term outcomes than craniotomy for the treatment of spontaneous supratentorial lobar ICH. Notably, severely affected patients with hematoma volume > 60 mL or Glasgow Coma Scale score 4–8 may benefit more from endoscopic surgery than the two other surgical procedures. Conclusions The current findings demonstrate that both Stereotactic Aspiration and endoscopic surgery possess an apparent advantage over craniotomy for the evacuation of spontaneous supratentorial lobar ICH. The endoscopic surgery might be more safe and effective with higher evacuation rate, better functional neurological outcomes, and lower complication and mortality rates.

Xingye Zhang - One of the best experts on this subject based on the ideXlab platform.

  • surgical evacuation of spontaneous cerebellar hemorrhage comparison of safety and efficacy of suboccipital craniotomy Stereotactic Aspiration and thrombolysis and endoscopic surgery
    World Neurosurgery, 2018
    Co-Authors: Lihong Li, Yuqian Li, Zhihong Li, Bao Wang, Yanlong Yang, Rujuan Su, Feifei Xu, Xi Zhang, Qiang Tian, Xingye Zhang
    Abstract:

    Background Current surgical therapies for spontaneous intracerebellar hemorrhage (SCH) include suboccipital craniotomy (SC), Stereotactic Aspiration and thrombolysis (SAT), and endoscopic surgery (ES). Evidence comparing the therapeutic effects of these 3 methods is scarce. The safety and efficacy of SC, SAT, and ES for SCH are still uncertain. Methods 75 patients with SCH who received SC, SAT, or ES were reviewed retrospectively. Baseline parameters before the operation, evacuation rate, perihematoma edema, postoperative complications, and cumulative case fatalities were collected. Also, 12 months after ictus, the long-term functional outcomes in patients with regard to fourth ventricle compression and age were judged, respectively, by the modified Rankin Scale (mRS). Results The SAT was less effective in evacuating hematoma than were SC and ES. The perihematoma edema on postoperative day 7 and surgical complications were highest in the SC group. The functional outcome represented by mRS was better in the SAT group than in the SC and ES groups for patients with fourth ventricle compression grade 1. For patients with fourth ventricle compression grades 2 and 3, the ES group achieved the best functional outcome. Patients older than 60 years benefited less from SC than from ES and SAT. Conclusions SAT may be suitable for SCH patients with fourth ventricle compression grade 1, and ES may be suitable for SCH patients with fourth ventricle compression grades 2 and 3. Aged patients benefit less from SC than from SAT and ES.

  • computed tomography angiography spot sign as an indicator for ultra early Stereotactic Aspiration of intracerebral hemorrhage
    World Neurosurgery, 2018
    Co-Authors: Yuqian Li, Zhihong Li, Bo Tian, Xingye Zhang, Bao Wang, Yang Yang, Jiancai Wang, Yanlong Yang, Min Li, Lihong Li
    Abstract:

    Background Ultra-early surgical clot removal relieves mechanical compression on adjacent normal brain tissue and limits the toxic effects of a hematoma, which might improve the outcomes in patients with intracerebral hemorrhage (ICH); however, hematoma expansion frequently occurs within 20 hours after the ictus, and this limits the use of ultra-early surgery. Computed tomography angiography spot sign was recently validated as an important predictor of hematoma expansion in patients with ICH. Methods Fifty-nine patients with ICH and negative spot sign who received ultra-early Stereotactic Aspiration ( Results The percentage of rebleeding was not significantly different between the 2 groups. Perihematoma edema 7 days after surgery in the Ultra-early group was significantly less frequent than that in the Routine group. For long-term outcomes, the proportion of patient fatalities and Glasgow Outcome Scale score were not significantly different between the 2 groups; however, for patients with severe symptoms, the rate of good neurological outcome in the Ultra-early group was higher than that in the Routine group. Conclusions Ultra-early Stereotactic Aspiration might decrease the volume of perihematoma edema and improve the functional outcomes to some extent, without increasing the recurrence of ICH and patient fatalities. Our findings suggest that using negative spot sign as an indicator for performing ultra-early Stereotactic Aspiration could be a safe and effective protocol for ICH patients.

  • surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage comparison of safety and efficacy of Stereotactic Aspiration endoscopic surgery and craniotomy
    World Neurosurgery, 2017
    Co-Authors: Yuqian Li, Ruixin Yang, Zhihong Li, Yanping Yang, Bo Tian, Xingye Zhang, Bao Wang, Dan Lu, Yang Yang, Lihong Li
    Abstract:

    Background The safety and efficacy of craniotomy, endoscopic surgery, and Stereotactic Aspiration for surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage (ICH) is yet uncertain. The present study analyzed the clinical and radiographic data from 99 patients with spontaneous supratentorial lobar ICH, retrospectively, to address this issue. Methods Patients who underwent craniotomy, endoscopy surgery, or Stereotactic Aspiration were assigned to the craniotomy group (n = 31), endoscopy surgery group (n = 32), or Stereotactic Aspiration group (n = 36), respectively. The characteristics of all the enrolled patients at the time of admission were assimilated. Also, the therapeutic effects of the three surgical procedures were evaluated based on short-term outcomes within 30 days and long-term outcomes at 6 months after the ictus. Results The results showed that Stereotactic Aspiration and endoscopic surgery were associated with a superior clinical therapeutic effect in both short-term and long-term outcomes than craniotomy for the treatment of spontaneous supratentorial lobar ICH. Notably, severely affected patients with hematoma volume > 60 mL or Glasgow Coma Scale score 4–8 may benefit more from endoscopic surgery than the two other surgical procedures. Conclusions The current findings demonstrate that both Stereotactic Aspiration and endoscopic surgery possess an apparent advantage over craniotomy for the evacuation of spontaneous supratentorial lobar ICH. The endoscopic surgery might be more safe and effective with higher evacuation rate, better functional neurological outcomes, and lower complication and mortality rates.

Yuqian Li - One of the best experts on this subject based on the ideXlab platform.

  • surgical evacuation of spontaneous cerebellar hemorrhage comparison of safety and efficacy of suboccipital craniotomy Stereotactic Aspiration and thrombolysis and endoscopic surgery
    World Neurosurgery, 2018
    Co-Authors: Lihong Li, Yuqian Li, Zhihong Li, Bao Wang, Yanlong Yang, Rujuan Su, Feifei Xu, Xi Zhang, Qiang Tian, Xingye Zhang
    Abstract:

    Background Current surgical therapies for spontaneous intracerebellar hemorrhage (SCH) include suboccipital craniotomy (SC), Stereotactic Aspiration and thrombolysis (SAT), and endoscopic surgery (ES). Evidence comparing the therapeutic effects of these 3 methods is scarce. The safety and efficacy of SC, SAT, and ES for SCH are still uncertain. Methods 75 patients with SCH who received SC, SAT, or ES were reviewed retrospectively. Baseline parameters before the operation, evacuation rate, perihematoma edema, postoperative complications, and cumulative case fatalities were collected. Also, 12 months after ictus, the long-term functional outcomes in patients with regard to fourth ventricle compression and age were judged, respectively, by the modified Rankin Scale (mRS). Results The SAT was less effective in evacuating hematoma than were SC and ES. The perihematoma edema on postoperative day 7 and surgical complications were highest in the SC group. The functional outcome represented by mRS was better in the SAT group than in the SC and ES groups for patients with fourth ventricle compression grade 1. For patients with fourth ventricle compression grades 2 and 3, the ES group achieved the best functional outcome. Patients older than 60 years benefited less from SC than from ES and SAT. Conclusions SAT may be suitable for SCH patients with fourth ventricle compression grade 1, and ES may be suitable for SCH patients with fourth ventricle compression grades 2 and 3. Aged patients benefit less from SC than from SAT and ES.

  • computed tomography angiography spot sign as an indicator for ultra early Stereotactic Aspiration of intracerebral hemorrhage
    World Neurosurgery, 2018
    Co-Authors: Yuqian Li, Zhihong Li, Bo Tian, Xingye Zhang, Bao Wang, Yang Yang, Jiancai Wang, Yanlong Yang, Min Li, Lihong Li
    Abstract:

    Background Ultra-early surgical clot removal relieves mechanical compression on adjacent normal brain tissue and limits the toxic effects of a hematoma, which might improve the outcomes in patients with intracerebral hemorrhage (ICH); however, hematoma expansion frequently occurs within 20 hours after the ictus, and this limits the use of ultra-early surgery. Computed tomography angiography spot sign was recently validated as an important predictor of hematoma expansion in patients with ICH. Methods Fifty-nine patients with ICH and negative spot sign who received ultra-early Stereotactic Aspiration ( Results The percentage of rebleeding was not significantly different between the 2 groups. Perihematoma edema 7 days after surgery in the Ultra-early group was significantly less frequent than that in the Routine group. For long-term outcomes, the proportion of patient fatalities and Glasgow Outcome Scale score were not significantly different between the 2 groups; however, for patients with severe symptoms, the rate of good neurological outcome in the Ultra-early group was higher than that in the Routine group. Conclusions Ultra-early Stereotactic Aspiration might decrease the volume of perihematoma edema and improve the functional outcomes to some extent, without increasing the recurrence of ICH and patient fatalities. Our findings suggest that using negative spot sign as an indicator for performing ultra-early Stereotactic Aspiration could be a safe and effective protocol for ICH patients.

  • surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage comparison of safety and efficacy of Stereotactic Aspiration endoscopic surgery and craniotomy
    World Neurosurgery, 2017
    Co-Authors: Yuqian Li, Ruixin Yang, Zhihong Li, Yanping Yang, Bo Tian, Xingye Zhang, Bao Wang, Dan Lu, Yang Yang, Lihong Li
    Abstract:

    Background The safety and efficacy of craniotomy, endoscopic surgery, and Stereotactic Aspiration for surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage (ICH) is yet uncertain. The present study analyzed the clinical and radiographic data from 99 patients with spontaneous supratentorial lobar ICH, retrospectively, to address this issue. Methods Patients who underwent craniotomy, endoscopy surgery, or Stereotactic Aspiration were assigned to the craniotomy group (n = 31), endoscopy surgery group (n = 32), or Stereotactic Aspiration group (n = 36), respectively. The characteristics of all the enrolled patients at the time of admission were assimilated. Also, the therapeutic effects of the three surgical procedures were evaluated based on short-term outcomes within 30 days and long-term outcomes at 6 months after the ictus. Results The results showed that Stereotactic Aspiration and endoscopic surgery were associated with a superior clinical therapeutic effect in both short-term and long-term outcomes than craniotomy for the treatment of spontaneous supratentorial lobar ICH. Notably, severely affected patients with hematoma volume > 60 mL or Glasgow Coma Scale score 4–8 may benefit more from endoscopic surgery than the two other surgical procedures. Conclusions The current findings demonstrate that both Stereotactic Aspiration and endoscopic surgery possess an apparent advantage over craniotomy for the evacuation of spontaneous supratentorial lobar ICH. The endoscopic surgery might be more safe and effective with higher evacuation rate, better functional neurological outcomes, and lower complication and mortality rates.

S Tokuda - One of the best experts on this subject based on the ideXlab platform.

  • computed tomography guided Stereotactic Aspiration of pontine hemorrhages
    Stereotactic and Functional Neurosurgery, 1990
    Co-Authors: M Shitamichi, Junichi Nakamura, Takehiko Sasaki, K Suematsu, S Tokuda
    Abstract:

    Computed tomography-guided Stereotactic Aspiration has been carried out in 20 patients with hypertensive pontine hemorrhage. A Komai computed tomography-guided Stereotactic apparatus and a suboccipital transcerebellar approach were used. The entire operative procedures were performed under local anesthesia or neuroleptanalgesia in the semilateral position. Of 20 patients, the outcome was assessed as good in 9, fair in 4, and poor in 7. No patient deteriorated after the operation. The relationship between the preoperative clinical features and the outcome in comparison with the conservative treatment is presented.

Bao Wang - One of the best experts on this subject based on the ideXlab platform.

  • surgical evacuation of spontaneous cerebellar hemorrhage comparison of safety and efficacy of suboccipital craniotomy Stereotactic Aspiration and thrombolysis and endoscopic surgery
    World Neurosurgery, 2018
    Co-Authors: Lihong Li, Yuqian Li, Zhihong Li, Bao Wang, Yanlong Yang, Rujuan Su, Feifei Xu, Xi Zhang, Qiang Tian, Xingye Zhang
    Abstract:

    Background Current surgical therapies for spontaneous intracerebellar hemorrhage (SCH) include suboccipital craniotomy (SC), Stereotactic Aspiration and thrombolysis (SAT), and endoscopic surgery (ES). Evidence comparing the therapeutic effects of these 3 methods is scarce. The safety and efficacy of SC, SAT, and ES for SCH are still uncertain. Methods 75 patients with SCH who received SC, SAT, or ES were reviewed retrospectively. Baseline parameters before the operation, evacuation rate, perihematoma edema, postoperative complications, and cumulative case fatalities were collected. Also, 12 months after ictus, the long-term functional outcomes in patients with regard to fourth ventricle compression and age were judged, respectively, by the modified Rankin Scale (mRS). Results The SAT was less effective in evacuating hematoma than were SC and ES. The perihematoma edema on postoperative day 7 and surgical complications were highest in the SC group. The functional outcome represented by mRS was better in the SAT group than in the SC and ES groups for patients with fourth ventricle compression grade 1. For patients with fourth ventricle compression grades 2 and 3, the ES group achieved the best functional outcome. Patients older than 60 years benefited less from SC than from ES and SAT. Conclusions SAT may be suitable for SCH patients with fourth ventricle compression grade 1, and ES may be suitable for SCH patients with fourth ventricle compression grades 2 and 3. Aged patients benefit less from SC than from SAT and ES.

  • computed tomography angiography spot sign as an indicator for ultra early Stereotactic Aspiration of intracerebral hemorrhage
    World Neurosurgery, 2018
    Co-Authors: Yuqian Li, Zhihong Li, Bo Tian, Xingye Zhang, Bao Wang, Yang Yang, Jiancai Wang, Yanlong Yang, Min Li, Lihong Li
    Abstract:

    Background Ultra-early surgical clot removal relieves mechanical compression on adjacent normal brain tissue and limits the toxic effects of a hematoma, which might improve the outcomes in patients with intracerebral hemorrhage (ICH); however, hematoma expansion frequently occurs within 20 hours after the ictus, and this limits the use of ultra-early surgery. Computed tomography angiography spot sign was recently validated as an important predictor of hematoma expansion in patients with ICH. Methods Fifty-nine patients with ICH and negative spot sign who received ultra-early Stereotactic Aspiration ( Results The percentage of rebleeding was not significantly different between the 2 groups. Perihematoma edema 7 days after surgery in the Ultra-early group was significantly less frequent than that in the Routine group. For long-term outcomes, the proportion of patient fatalities and Glasgow Outcome Scale score were not significantly different between the 2 groups; however, for patients with severe symptoms, the rate of good neurological outcome in the Ultra-early group was higher than that in the Routine group. Conclusions Ultra-early Stereotactic Aspiration might decrease the volume of perihematoma edema and improve the functional outcomes to some extent, without increasing the recurrence of ICH and patient fatalities. Our findings suggest that using negative spot sign as an indicator for performing ultra-early Stereotactic Aspiration could be a safe and effective protocol for ICH patients.

  • surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage comparison of safety and efficacy of Stereotactic Aspiration endoscopic surgery and craniotomy
    World Neurosurgery, 2017
    Co-Authors: Yuqian Li, Ruixin Yang, Zhihong Li, Yanping Yang, Bo Tian, Xingye Zhang, Bao Wang, Dan Lu, Yang Yang, Lihong Li
    Abstract:

    Background The safety and efficacy of craniotomy, endoscopic surgery, and Stereotactic Aspiration for surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage (ICH) is yet uncertain. The present study analyzed the clinical and radiographic data from 99 patients with spontaneous supratentorial lobar ICH, retrospectively, to address this issue. Methods Patients who underwent craniotomy, endoscopy surgery, or Stereotactic Aspiration were assigned to the craniotomy group (n = 31), endoscopy surgery group (n = 32), or Stereotactic Aspiration group (n = 36), respectively. The characteristics of all the enrolled patients at the time of admission were assimilated. Also, the therapeutic effects of the three surgical procedures were evaluated based on short-term outcomes within 30 days and long-term outcomes at 6 months after the ictus. Results The results showed that Stereotactic Aspiration and endoscopic surgery were associated with a superior clinical therapeutic effect in both short-term and long-term outcomes than craniotomy for the treatment of spontaneous supratentorial lobar ICH. Notably, severely affected patients with hematoma volume > 60 mL or Glasgow Coma Scale score 4–8 may benefit more from endoscopic surgery than the two other surgical procedures. Conclusions The current findings demonstrate that both Stereotactic Aspiration and endoscopic surgery possess an apparent advantage over craniotomy for the evacuation of spontaneous supratentorial lobar ICH. The endoscopic surgery might be more safe and effective with higher evacuation rate, better functional neurological outcomes, and lower complication and mortality rates.