Minimally invasive soft channel puncture combined with ventricular drainage in treatment of spontaneous cerebellar hemorrhage

Abstract

Objective To investigate the clinical effect of minimally invasive soft channel puncture combined with lateral ventricular drainage in the treatment of spontaneous cerebellar hemorrhage. Methods 12 patients with cerebellar hemorrhage treated by minimally invasive soft channel puncture combined with lateral ventricular drainage from March, 2015 to March, 2019 were retrospectively summarized. We analyze the patients’ general data, surgical process and post-operative situation. We discussed the characteristics, indications and development direction of surgical treatment of cerebellar hemorrhage. Results 11 patients were satisfied with the effect of hematomas removal; 2 patients had re-bleeding, and their hematomas were removed after drainage; 4 patients recovered and were discharged; 6 patients were discharged automatically; and 2 patients died. Of the 7 patients with coma before operation, 2 were awake, 3 comatose, and 2 dead. Of the 5 patients with sleepiness, 2 were awake, 1 sleepy, and 2 comatose. Conclusions When applying minimally invasive soft channel puncture combined with lateral ventricular drainage in the treatment of cerebellar hemorrhage, we need to grasp the characteristics of cerebellar anatomy and hemorrhage and the surgical indications, and make a choice based on various factors. Minimally invasive soft channel puncture combined with lateral ventricular drainage in the treatment of cerebellar hemorrhage conforms to the direction of neurosurgery development, and has a positive significance for the treatment of spontaneous cerebellar hemorrhage. Key words: Minimally invasive soft-channel puncture technique; Lateral ventricular drainage; Spontaneous cerebellar hemorrhage