Neuroendoscope-Assisted Technique for Evacuation of Intracerebral Hematomas without Penetration into the Ventricular System

Abstract

Introduction: In patients with intracerebral hematoma (ICH), withOUT penetration into the ventricular system neurosurgical treatment is a matter of choice and methods. The aim of the study was to evaluate the effectiveness of the authors’minimal-invasive neuroendoscope-assisted technique for evacuation of ICH withOUT ventricular penetration. Material and Methods: The study was conducted based on a thorough analysis of the literature. Punctiform craniectomy and modification of the authors of transparent trocars were used for endoscope-assisted evacuation of ICH withOUT penetration into the ventricular system in 30 patients. The patients were followed-up clinically and radiologically Results: Timing of the procedure was within 48 hours of clinical manifestations. Patients were devided into groups: subcortical – 16 cases, PUTAMINAl – 8 cases, TALAMIC – 1 CASE AND Cerebellar – 5 cases. Mortality was 3.33% (1 patient), and the morbidity associated with surgery occurred in 1 patient (3.33%). Percentage of rebleeding WAS 3.33% (1 case). Average score in GOSE was 5 to 1-month follow-up. Conclusion: The authors’ neuroendoscope-assisted technique for evacuation of intracerebral hematoma (ICH) without penetration into the ventricular system represents reasonable option for neurosurgical treatment. ASA = American Stroke Association; GOSE = extended Glasgow Outcome Scale; ICH = intracerebral hemorrhage; CT = computed tomography