Evidence map›Paper›PMID 40452716›Full record

ArticleCureus2025

Stereotactic Evacuation Performed During the Subacute Phase Improves Functional Independence Measurement Scores in Patients With Putaminal Hemorrhage.

Tomoko Eto, Yusuke Otsu, Yoh Yamakawa, Shin Yamashita, Terukazu Kuramoto, Etsuro Kawaguchi, Yu Hasegawa, Kiyohiko Sakata, Motohiro Morioka

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
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2citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Tomoko EtoNeurosurgery, Omuta City Hospital, Omuta, JPN.
Yusuke OtsuNeurosurgery, Omuta City Hospital, Omuta, JPN.
Yoh YamakawaNeurosurgery, Omuta City Hospital, Omuta, JPN.
Shin YamashitaNeurosurgery, Omuta City Hospital, Omuta, JPN.
Terukazu KuramotoNeurosurgery, Omuta City Hospital, Omuta, JPN.
Etsuro KawaguchiCentral Division of Radiology, Omuta City Hospital, Omuta, JPN.
Yu HasegawaPharmaceutical Sciences, International University of Health and Welfare, Okawa, JPN.
Kiyohiko SakataNeurosurgery, Kurume University Hospital, Kurume, JPN.
Motohiro MoriokaNeurosurgery, Kurume University, Kurume, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSurgery for putaminal hemorrhage during the acute phase does not improve motor and cognitive impairments. We investigated the effect of stereotactic evacuation performed seven days after the onset of putaminal hemorrhage on the Functional Independence Measurement (FIM) score, compared with that of conservative treatment.

methodsWe included 203 patients admitted for putaminal hemorrhage treatment between January 2012 and December 2022. Of these, 28 patients with putaminal hemorrhage (computed tomography classification IVa: putaminal hemorrhage into the anterior and posterior limbs of the internal capsule without ventricular perforation) who did not undergo surgery in the acute phase were divided into stereotactic evacuation (n = 14) and conservative treatment (n = 14) groups. We then evaluated the total, motor, and cognitive FIM scores at three months post admission.

resultsGreater average hematoma volume (p = 0.06) and greater perihematomal edema volume (p = 0.07) on admission were observed in the stereotactic evacuation group. We performed stereotactic evacuation 13.6 ± 3.4 days after admission, with an average hematoma removal rate of 91.4%. The total and cognitive FIM scores at three months improved in the stereotactic evacuation group.

conclusionOur findings indicate that stereotactic evacuation in the subacute phase has better functional outcomes, especially in patients with cognitive impairment. Minimally invasive surgery may be a promising option to improve patients' prognoses.

Indexed as

cognitive impairmentfunctional independence measurementputaminal hemorrhagestereotactic evacuationsubacute phase

Identifiers

PMID40452716
PMCPMC12126917

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