TY - JOUR
T1 - Retrospective analysis of effects and complications in cases treated with endoscopic evacuation of intracerebral hemorrhage
AU - Hayashi, Nakamasa
AU - Nishimura, Shinjitsu
AU - Numagami, Yoshihiro
AU - Murakami, Kensuke
AU - Inoue, Tmoo
AU - Obara, Harue
AU - Nishijima, Michiharu
PY - 2006/12/1
Y1 - 2006/12/1
N2 - We described our experience of 22 cases treated with endoscopic evacuation of intracerebral hematoma, including 16 putaminal, 3 thalamic, and 1 cerebellar hemorrhages. All endoscopic procedures were performed under local anesthesia. A rigid-rod endoscope and a suction device attached was introduced through a transparent sheath into the hematoma cavity. Putaminal hemorrhage was sufficiently evacuated (56-100%), but thalamic hemorrhage was insufficiently removed (less than 40%). In 3 cases, postoperative CT demonstrated enlargement of the hematoma after the endoscopic procedure. In one case, postoperative rebleeding was recognized on a postoperative follow-up CT scan. In 2 cases, uncontrollable arterial bleeding occurred during the endoscopic procedure, followed by craniotomy and removal of the hematoma under a microscope. Endoscopic hematoma evacuation should be an efficient procedure for intracerebral hemorrhage after a secure method of hemostasis during the endoscopic evacuation process has been developed.
AB - We described our experience of 22 cases treated with endoscopic evacuation of intracerebral hematoma, including 16 putaminal, 3 thalamic, and 1 cerebellar hemorrhages. All endoscopic procedures were performed under local anesthesia. A rigid-rod endoscope and a suction device attached was introduced through a transparent sheath into the hematoma cavity. Putaminal hemorrhage was sufficiently evacuated (56-100%), but thalamic hemorrhage was insufficiently removed (less than 40%). In 3 cases, postoperative CT demonstrated enlargement of the hematoma after the endoscopic procedure. In one case, postoperative rebleeding was recognized on a postoperative follow-up CT scan. In 2 cases, uncontrollable arterial bleeding occurred during the endoscopic procedure, followed by craniotomy and removal of the hematoma under a microscope. Endoscopic hematoma evacuation should be an efficient procedure for intracerebral hemorrhage after a secure method of hemostasis during the endoscopic evacuation process has been developed.
KW - Endoscope
KW - Intracerebral hematoma
KW - Operative tequnique
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M3 - Article
C2 - 17154069
AN - SCOPUS:33846096799
VL - 34
SP - 1233
EP - 1238
JO - Neurological Surgery
JF - Neurological Surgery
SN - 0301-2603
IS - 12
ER -