Minimally invasive removal of intracranial hematoma

  A female patient, 65 years old, was admitted to our department on 2008-8-3 with “hypertensive cerebral hemorrhage”. At that time, the patient was comatose, with unequal pupils, phlegm in the larynx, hemiplegia of the right limb, and positive Bartholin’s disease.  The cranial CT report showed that the left basal hematoma had broken into the ventricle (blood volume about 75 ml). During the operation, 20 ml of blood was withdrawn from the hematoma site and flushed with saline, and finally urokinase was injected and the drainage tube was opened after 4 hours of closure. The cranial CT report showed that most of the intracranial hematoma was removed after five days. The drainage needle was removed on postoperative day 6. The patient was clear on the third postoperative day and was able to feed himself on the fifth postoperative day.