Microanatomy And Technique Concerning To Operation Approach In Lateral Fissure Of Cerebrum Region For Hypertensive Cerebral Hemorrhage Of Basal Ganglia Region

1 ObjectiveHypertensive intracerebral hemorrhage(HICH) is founded mostly in patients aged 50 to 60 with arteriosclerotic vessels. Once occurring, mortality adopted nonoperative methods is still high about 40% to 70%, so look for effective surgery treatment, improve cure ratio, reduce mortality, is vitally important. Of the HICH, about 65% of patients are those located in the basal ganglia region, neurosurgeons commonly approach mesial temporal lobe structures when dealing with HICH in the basal ganglia region, morbidity associated with temporal lobe surgery consists mainly of visual field deficits and aphasias. Our aim is to define a transsylvian approach to the basal gangion region through the medial and inferior wall of the temporal lobe that spares the optic radiation and uncinate fasciculus to avoid the aforementioned morbidities, which make HICH to be treated correctly in time , decrease disability and mortality, cure this disease and reduce surgery lesion.2 Materials and Methods...