<p>Minimally invasive evacuation of spontaneous supratentorial intracerebral hemorrhage by transcranial neuroendoscopic approach</p>

Abstract

Objective Spontaneous supratentorial intracerebral hemorrhage (SSICH) is one of the deadliest diseases, and neuroendoscopic surgery (NE) is a minimally invasive and promising treatment that might improve the functional recovery of patients. This study analyzed patient’s experience with this treatment in terms of safety, efficacy, and surgical technique. Patients and methods Forty-two patients with SSICHs treated by transcranial neuroendoscopic approach were retrospectively reviewed from June 2016 to July 2018 in our department. Patients were classified into four groups according to the main location of the hematoma on CT scans: Group A (basal ganglia hemorrhage), Group B (subcortical hemorrhage), Group C (thalamic hemorrhage), and Group D (intraventricular hemorrhage [IVH]). The clinical data were collected, and the outcomes were analyzed. Results All procedures were successfully completed, and no patient died in the perioperative period. The average hematoma evacuation rate was 90.1%, and the highest hematoma evacuation rate was achieved in Group B which was 92.7%. No severe complications occurred, and the average GCS score improvement was 4.0 at discharge. Conclusion These data suggest that evacuation hemorrhage by neuroendoscopy might be an effective and safe approach for SSICH. For better efficiency of this treatment, some details needed to be emphasized, such as setting up a good working channel, using of suction and bipolar forceps accurately.

New approach of stereotactic aspiration combine with neuroendoscopy and decompressive craniectomy for spontaneous supratentorial intracerebral hemorrhage with tentorial herniation

“…The surgical methods of SSICH mainly include stereotactic aspiration, neuroendoscopy and craniotomy, which have their advantages and disadvantages [8][9][10][11][12][13] . Stereotactic aspiration was an effective and commonly used method in clinical practice, although its indication was narrow to small and mediumsized stable hematomas.…”

The Management of Poststroke Thalamic Pain: Update in Clinical Practice

“…Thalamic pain syndrome commonly follows an ischemic stroke or hemorrhagic stroke in the thalamic and lateral medullary areas [ 3 , 8 , 9 ]. PS-TP occurs after thalamic stroke with sensory deficits, and it often comes up to 40% in the acute phase following the stroke, e.g., within a month of the stroke [ 10 , 11 , 12 ].…”

Clinical application of 3D-Slicer + 3D printing guide combined with transcranial neuroendoscopic in minimally invasive neurosurgery

“…It has the advantages of good light, multi angle view, close observation and so on, while has great advantages in hypertensive intracerebral hemorrhage surgery 2 , craniotomy aneurysm clipping surgery 3 , 4 , trigeminal nerve/facial nerve microvascular decompression surgery 6 , and even craniotomy brain tumor surgery. Study 10 has shown that transcranial neuroendoscopic is more than 90% of hematoma removal in intracerebral hemorrhage surgery. Moreover, the side injury is small, the complications are few, and it is safe and effective.…”