Abstract
Neuroendoscopic (NE) surgery as a minimal invasive treatment for basal ganglia hemorrhage is a promising approach. The present study aims to evaluate the efficacy and safety of NE approach using an adjustable cannula to treat basal ganglia hemorrhage. In this study, we analysed the clinical and radiographic outcomes between NE group (21 cases) and craniotomy group (30 cases). The results indicated that NE surgery might be an effective and safe approach for basal ganglia haemorrhage, and it is also suggested that NE approach may improve good functional recovery. However, NE approach only suits the selected patient, and the usefulness of NE approach needs further randomized controlled trials (RCTs) to evaluate.
Highlights
Worldwide, intracerebral hemorrhage (ICH) is a major cause of morbidity and mortality [1]
Basal ganglia haemorrhage is a common type of ICH, and it is a life-threatening condition that may result in a series of complications, including hematoma expansion, severe brainstem compression, acute hydrocephalus, increased intracranial pressure, seizures, fever, and infections [5]
Between June 2011 and July 2012, 176 patients with basal ganglia hemorrhage were admitted to the Clinical Medical
Summary
Intracerebral hemorrhage (ICH) is a major cause of morbidity and mortality [1]. It is the second most common form of stroke, accounting for 13–20% of first-time strokes [2,3,4]. Basal ganglia haemorrhage is a common type of ICH, and it is a life-threatening condition that may result in a series of complications, including hematoma expansion, severe brainstem compression, acute hydrocephalus, increased intracranial pressure, seizures, fever, and infections [5]. To avoid these complications, patients usually need urgent surgical treatment. Basal ganglia haemorrhage has been commonly treated using conventional craniotomy, which has high mortality (22%–36%) and poor hematoma evacuation rate (44%–74%), as shown in some studies [6, 7]
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