Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature

Tseng, Wei-Lung; Kuo, Lu-Ting; Chen, Chien‐Min; Tang, Chi‐Tun; Lai, Dar‐Ming; Huang, Abel Po-Hao

doi:10.1016/j.jfma.2021.11.010

Cited by 5 publications

(4 citation statements)

References 38 publications

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“…Following the primary injury, re-bleeding and cerebral edema are the most common significant adverse events. [ 7 , 13 ] Endoscopic hematoma removal is increasingly used to treat ICH. Studies support the safety and efficacy of endoscopic hematoma removal and show that it is associated with improved neurological recovery.…”

Section: Discussionmentioning

confidence: 99%

“…The primary goal in the surgical management of patients with TBI is adequate decompression. [ 13 ] Endoscopic surgery is a treatment option for TICH if the indication is carefully considered. Although insufficient for hemostasis, endoscopic surgery is less invasive and can sufficiently reduce intracranial pressure relative to craniotomy or craniectomy.…”

Section: Introductionmentioning

confidence: 99%

“…Although insufficient for hemostasis, endoscopic surgery is less invasive and can sufficiently reduce intracranial pressure relative to craniotomy or craniectomy. [ 12 , 13 ] Recent studies suggest that endoscopic surgery can provide both adequate decompression and maximize neurological recovery in patients with TBI. [ 12 , 13 ] Furthermore, patients with TBI undergoing unilateral decompression surgery for hematoma evacuation are at risk of contralateral hematoma enlargement.…”

Section: Introductionmentioning

confidence: 99%

“…[ 12 , 13 ] Recent studies suggest that endoscopic surgery can provide both adequate decompression and maximize neurological recovery in patients with TBI. [ 12 , 13 ] Furthermore, patients with TBI undergoing unilateral decompression surgery for hematoma evacuation are at risk of contralateral hematoma enlargement. [ 3 , 5 , 10 ] This report describes the case of an elderly patient who developed bilateral TICH following a fall.…”

Section: Introductionmentioning

confidence: 99%

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Endoscopic-assisted removal of bilateral traumatic intracerebral hemorrhage: A case report

Tanaka

Momozaki

et al. 2023

Surgical Neurology International

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Background: Decompressive craniectomy or craniotomy is an effective method for reducing intracranial pressure in patients with traumatic brain injury. However, contralateral intracranial hematoma is a rare but serious complication. Recently, the endoscopic technique has been described as a minimally invasive, safe, and effective treatment for intracranial hematoma evacuation. To the best of our knowledge, no technical report has described bilateral traumatic intracerebral hemorrhage (TICH) evacuation using a neuroendoscope. Case Description: A 62-year-old man was admitted to the hospital after a fall due to intoxication. His initial Glasgow Coma Scale (GCS) score was 14. Initial computed tomography (CT) revealed a right temporal skull fracture, bilateral frontal and right temporal tip contusions, and acute subdural hematoma. During admission, his condition deteriorated to a GCS score of 6 points, and follow-up CT showed hemorrhagic progression of left frontal and right temporal contusion with midline shift and brainstem compression. Emergency surgery was performed for TICH in the left frontal lobe and right temporal lobe. A burr hole was made in each of the left frontal and right temporal regions, and we used a neuroendoscope to assist in the evacuation of the hematoma. Postoperative CT showed adequate evacuation of the hematoma. The patient regained consciousness and was discharged after 2 months. Conclusion: Bilateral TICH was rapidly and sequentially removed by burr-hole craniotomy and endoscopic hematoma evacuation without rapid decompression by craniotomy. The hematoma did not increase. This report demonstrates that the endoscopic-assisted technique allows the safe treatment of bilateral TICH.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Endoscopic-assisted removal of bilateral traumatic intracerebral hemorrhage: A case report

Tanaka

Momozaki

et al. 2023

Surgical Neurology International

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Kao¹

2022

Journal of the Formosan Medical Association

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Treatment Options for Intracranial Epidural Hematoma - An Integrative Review of the Past Three Decades

Pereira,

Setton

2024

Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery

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Introduction Acute epidural intracranial hematoma (IEH) has been considered one of the most relevant neurosurgical emergencies in recent decades due to its high potential for morbidity and mortality. Early diagnosis followed by appropriate treatment results in a more favorable prognosis considering its rapid progression. Objective To describe the various treatment modalities for IEH in the last three decades and their updates. Methods Integrative literature review on therapeutic options in IEH treatment. The terms “Epidural hematoma,” “Traumatic brain injury,” and “treatment” were used in the Medline/PubMed, Google Scholar, and SciELO platforms, resulting in 90 articles. Results Appropriate treatment for IEH depends directly on the Glasgow Coma Scale score obtained during admission, bleeding location, lesion size, presence of associated intracranial injuries, and the neurosurgeon's experience. Conclusion Initial treatment for IEH is predominantly surgical, with conservative treatment indicated in selected cases. Both neurosurgeons and clinicians must identify characteristic signs and symptoms promptly to avoid treatment delay. Moreover, minimally invasive approaches have gained prominence in recent decades, associated with image-guided procedures, and when well-indicated, result in rapid recovery and lower morbidity.

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Surgical application of endoscopic-assisted minimally-invasive neurosurgery to traumatic brain injury: Case series and review of literature

Cited by 5 publications

References 38 publications

Endoscopic-assisted removal of bilateral traumatic intracerebral hemorrhage: A case report

Endoscopic-assisted removal of bilateral traumatic intracerebral hemorrhage: A case report

Highlights

Treatment Options for Intracranial Epidural Hematoma - An Integrative Review of the Past Three Decades

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