ArticleFrontiers in surgery2026
Trans-sylvian hematoma evacuation combined with lamina terminalis ventriculostomy for hypertensive basal ganglia hemorrhage: a retrospective cohort study.
Article in Frontiers in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background: Hypertensive basal ganglia hemorrhage (HBGH) with intraventricular extension is frequently associated with cerebrospinal fluid (CSF) circulation disturbance, postoperative complications, and poor neurological outcomes. We evaluated a single-stage surgical strategy combining trans-sylvian hematoma evacuation with lamina terminalis ventriculostomy (LTV) in patients with HBGH and ventricular extension. Methods: This retrospective cohort study included 70 patients with HBGH (hematoma volume ≥30 mL) and intraventricular extension. Patients who underwent isolated trans-sylvian hematoma evacuation between 2020 and 2021 served as the control group ( Results: After matching, 20 control patients and 30 combined-procedure patients were included. The combined group showed significantly higher postoperative mean flow velocity and lower pulsatility index at postoperative days 7 and 14 (all Conclusion: Trans-sylvian hematoma evacuation combined with LTV was associated with improved cerebral hemodynamics, better ADL-based functional recovery, and fewer postoperative complications in selected patients with HBGH and ventricular extension. Because several severity-related variables and shunt-dependency outcomes were unavailable, prospective multicenter studies are required to confirm its long-term clinical benefits.
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