[Surgical indication and limitation in XXXX of the basal ganglia].

@entity1 @entity3976 @entity7057 @entity772 @entity1410 @entity21915 @entity204 @entity734
The purpose of this paper is to elucidate surgical indication and limitation for severe @entity7057 in the basal ganglia (HIH) with a view toward good functional outcome. Materials were 32 @entity1 of severe @entity21915 (HIH). Neurological grading (G) for HIH, reported by Kanaya et al. in 1978, was applied. Grading on admission in 11 @entity1 with conservative treatment was G-4a in 2, G-4b in 3 and, G-5 in 6. Preoperative grading in 21 @entity1 with surgical treatment was G-4a in 9, G-4b in 8 and G-5 in 4. G-4a revealed semicoma without @entity3976 signs, G-4b semicoma with @entity3976 signs and G-5 deep @entity772 . The interval from the onset of HIH to @entity1410 evacuation was from 3 to 10 hours in 14 @entity1 , from 17 to 23 hours in 5, 44 hours in one and 5 days in one. Functional outcomes at hospital discharge were classified as follows: self-managing (SM); @entity734 ( @entity734 ); @entity734 ( @entity734 ); vegetative (V); dead (D). Factors which would have influenced functional outcomes were studied and the results follow. All 11 @entity1 with conservative treatment died. On the contrary, in 21 @entity1 with surgical treatment, the outcomes were SM in 2 @entity1 , @entity734 in 3, @entity734 in 11, V in one and D in 4. @entity204 in the 4 @entity1 was caused by fatal complications from 8 to 24 days after the operation. In 17 surviving @entity1 with surgical treatment, (a) Mean age of the SM or @entity734 @entity1 was 45 years, and that of @entity734 or V @entity1 was 55 years.(ABSTRACT TRUNCATED AT 250 WORDS)
