Turkish Neurosurgery
Neuronavigation-assisted aspiration and electro-acupuncture for Hypertensive Putaminal Hemorrhage -a suitable technique on hemiplegia rehabilitation
yuhai zhang3, Rami Al-Aref4, haixia Fu2, yunxue Yang2, yugong Feng1, chao Zhao2, jun Dong2, guoqing Sun2
1The Affiliated Hospital of Medical College, Qingdao University, Neurosurgery, Qingdao city ,shandong province,
2Affiliated Ri Zhao peoples hospital, JiNing medical college, Neurosurgery, Rizhao city, ShanDong Province,
3Affiliated Hospital of Medical College, Qingdao University, Qingdao, China. Current Work Unit: Department of Neurosurgery, Ri Zhao peoples hospital, Neurosurgery, Rizhao city, ShanDong Province,
4Wayne State Univeristy School of Medicine, Neurosurgery, Detroit ,
DOI: 10.5137/1019-5149.JTN.16456-15.1

Aim:To identify whether neuronavigation-assisted aspiration (NA) combined with electro-acupuncture (EA) provides better motor recovery in events of Hypertensive Putaminal Hematoma (HPH) sized 30 to 50 ml. This study aims to examine whether NA and EA have additional value to cerebral hemorrhage motor rehabilitation.Material and Methods:240 patients with HPH sized 30 to 50 ml were admitted within 6 to 10 hours after stroke ictus were included in this study. All the cases were divided into 4 groups and each group contains 60 cases equally. Group 1 underwent NA and EA, group 2 underwent NA, group 3 underwent EA, and group 4 received conservative therapy consisting solely of medications. EA was performed on third day of admission; motor recovery was examined on weeks zero and eight by blinded assessors. Outcome measures included Fugl-Meyer assessment, modified Ashworth Scale and Functional Independence MeasureResults:Group one showed significant improved motor outcomes compared to group four (P<0.01), and the same outcomes between pre-and post- therapy in Group one (p<0.01). Group two and group three patients had significant motor recovery after intervention when compared to group four (p<0.05). Muscular tension secondary to stroke was considerably improved between group one and group four, group two and group four, group three and group four respectively. (p<0.05). Activity of daily living(ADL) improvement benefit a lot from EA together with NA.Conclusion:NA and EA of HPH at early stage can achieve improved motor recovery. Significant motor recovery can be achieved by NA with EA.

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