SUCCESSFUL EMERGENCY RESCUE OF CEREBRAL HEMORRHAGE STROKE FOR CAMBODIA PATIENT
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Author: BỆNH VIỆN ĐA KHOA QUỐC TẾ NAM SÀI GÒN
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04/04/2023
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205
Nam Sai Gon International General Hospital recently received D.S., a 55-year-old male patient from Cambodia, who was admitted in a condition of severe headache and repeated vomiting. He was diagnosed with hemorrhagic stroke and had been treated at a local hospital for five days, but his condition did not improve.
Receiving a Stroke Patient in Critical Condition After Minimal Progress from Previous Treatment
Successful Emergency Treatment of Hemorrhagic Stroke for a Cambodian Patient
After initial examination and assessment, doctors at Nam Sai Gon International General Hospital ordered a CT scan to accurately identify the cause of the stroke. The patient’s brain CT results showed a left hemispheric intracerebral hemorrhage measuring 35 x 65 x 80 mm, with surrounding cerebral edema and additional bleeding into the third ventricle and both lateral ventricles.
Dr. DO ANH VU, MMed, Specialist Level II, Neurosurgery & Spine Department, explained that worldwide, hemorrhagic stroke accounts for about 15% of all stroke cases. In stroke management, taking advantage of the “golden window” can significantly improve treatment outcomes.
However, in the case of patient D.S., who was transferred from Cambodia in critical condition — after five days of ineffective treatment at a local hospital — the Neurosurgery team at Nam Sai Gon International General Hospital decided to perform hematoma drainage combined with intralesional thrombolytic therapy.
Hematoma Drainage Combined with Fibrinolytic Therapy – A Minimally Invasive Surgical Technique Offering High Effectiveness for Cerebral Hemorrhage Patients
“The technique of draining the hematoma combined with fibrinolytic therapy is a minimally invasive surgical method. It requires only a small burr hole in the skull, opening of the dura, and insertion of a catheter into the hematoma under the guidance of a 3D Navigation system, allowing the hematoma to be drained effectively.
This is one of the most advanced surgical techniques for treating intracerebral hemorrhage, and only a few medical facilities in Vietnam are capable of performing it. Unlike traditional open craniotomy—which requires a large skull opening, a long incision, higher blood loss, a greater risk of rebleeding, multiple complications, and prolonged recovery—this minimally invasive method offers significant advantages,” Dr. Vu added.
Contrast-Enhanced CT Images Before and After Surgery
After undergoing minimally invasive surgery using 3D Navigation, the patient recovered remarkably quickly. Following three days of drainage and a repeat CT scan, only a minimal amount of hematoma remained. The patient was fully alert, speaking normally, and had regained almost complete motor function in his limbs. After seven days, he was discharged and continued physical therapy at home.
As the first hospital in Southern Vietnam equipped with both the O-arm system and Navigation technology for cranial and spinal neurosurgery, Nam Sai Gon International General Hospital has created favorable conditions for its medical team to successfully perform numerous advanced and specialized techniques. These include disc herniation surgery, percutaneous pedicle screw fixation with Navigation guidance, and hematoma drainage for intracerebral hemorrhage—helping patients recover quickly, reduce financial burden, and avoid the need to travel abroad for treatment.
Recent studies show that hypertension is one of the leading risk factors for stroke. Therefore, for hypertensive patients like D.S., who received treatment at Nam Sai Gon International General Hospital, it is crucial to recognize early warning signs of stroke to take advantage of the golden treatment window, ensuring the best possible recovery outcomes.
Nam Sai Gon International General Hospital
No. 88, Street No. 8, Trung Son Residential Area, Binh Hung Commune, Ho Chi Minh City.
Hotline: 18006767
info@nih.com.vn
Last updated: 11:01 05/12/2025
