TY - JOUR
T1 - Surgery for spontaneous intracerebral hemorrhage has greater remedial value than conservative therapy
AU - Morioka, Jun
AU - Fujii, Masami
AU - Kato, Shoichi
AU - Fujisawa, Hirosuke
AU - Akimura, Tatsuo
AU - Suzuki, Michiyasu
AU - Kobayashi, Shotai
N1 - Funding Information:
This study was supported by the Ministry of Health, Labour and Welfare grant (2001, 21th century [life]-33). The authors thank Prof Motoaki Harada, Department of Hygienics, Yamaguchi University, Japan, for statistical assistance.
Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2006/1
Y1 - 2006/1
N2 - Background: The aim of this study was to compare the efficacy of surgery for spontaneous intracerebral hemorrhage with that of medical treatment, based on data from the Japan Stroke Registry Study. Methods: From 1999 to 2001, 1010 patients with spontaneous intracerebral hemorrhage were registered in the Japan Standard Stroke Registry Study from 45 stroke center hospitals in Japan. The National Institutes of Health Stroke Scale (NIHSS), Japan Stroke Scale (JSS), and modified Rankin Scale scores were used to compare severity and improvement in patients given surgical and medical treatment. Conclusions: Surgically treated patients, especially those with cerebellar hemorrhage, had significantly greater improvement in NIHSS or JSS score compared with medically treated patients. Our findings indicated that the patients who underwent surgery appeared to have better outcomes. But, because the study was not randomized, this observation cannot be interpreted as indicating that surgery is advantageous.
AB - Background: The aim of this study was to compare the efficacy of surgery for spontaneous intracerebral hemorrhage with that of medical treatment, based on data from the Japan Stroke Registry Study. Methods: From 1999 to 2001, 1010 patients with spontaneous intracerebral hemorrhage were registered in the Japan Standard Stroke Registry Study from 45 stroke center hospitals in Japan. The National Institutes of Health Stroke Scale (NIHSS), Japan Stroke Scale (JSS), and modified Rankin Scale scores were used to compare severity and improvement in patients given surgical and medical treatment. Conclusions: Surgically treated patients, especially those with cerebellar hemorrhage, had significantly greater improvement in NIHSS or JSS score compared with medically treated patients. Our findings indicated that the patients who underwent surgery appeared to have better outcomes. But, because the study was not randomized, this observation cannot be interpreted as indicating that surgery is advantageous.
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U2 - 10.1016/j.surneu.2005.03.023
DO - 10.1016/j.surneu.2005.03.023
M3 - Article
C2 - 16378863
AN - SCOPUS:29344433461
SN - 0090-3019
VL - 65
SP - 67
EP - 72
JO - Surgical Neurology
JF - Surgical Neurology
IS - 1
ER -