Image-guided Keyhole Evacuation of Spontaneous Supratentorial Intracerebral Hemorrhage

Barlas, Orhan; Karadereler, Selhan; Bahar, S.; Yeşilot, Nilüfer; Krespi, Yosef P.; Solmaz, Bilgehan; Bayındır, Osman

doi:10.1055/s-0028-1104610

Cited by 23 publications

(18 citation statements)

References 18 publications

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“…3,7 Barlas et al 3 reported an average reduction in hematoma volume of 97.5% (range 92.9%-100%), and they demonstrated significant improvements in both radiological and clinical data. Microsurgical evacuation has the advantage of immediate and near-complete hematoma removal, but it does require more cortical exposure and brain retraction than endoscopic techniques.…”

Section: Discussionmentioning

confidence: 98%

Frontal bur hole through an eyebrow incision for image-guided endoscopic evacuation of spontaneous intracerebral hemorrhage

Dye¹,

Dusick²,

Lee³

et al. 2012

JNS

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This minimally invasive technique is a feasible alternative to other means of evacuating sICHs. It is intended for anterior basal ganglia hematomas, which usually have an elongated, ovoid shape. The approach allows for an optimal trajectory to the long axis of the hematoma, making it possible to evacuate the vast majority of the clot with only one pass of the endoscopic sheath, theoretically minimizing the amount of damage to normal brain.

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Section: Discussionmentioning

confidence: 98%

Frontal bur hole through an eyebrow incision for image-guided endoscopic evacuation of spontaneous intracerebral hemorrhage

Dye¹,

Dusick²,

Lee³

et al. 2012

JNS

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“…Barlas et al demonstrated a 60% reduction in both mean midline shift and edema volume (p=0.005) with a minimally invasive technique for ICH removal. 65 Furthermore in a small study comparing medical management vs. medical management plus stereotactic endoscopic hematoma evacuation, Miller et al demonstrated a 30% absolute reduction in mortality in the surgically managed group. 66 …”

Section: Post-pci Intracranial Hemorrhagementioning

confidence: 99%

Case Scenario: A Patient on Dual Antiplatelet Therapy with an Intracranial Hemorrhage after Percutaneous Coronary Intervention

et al. 2014

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“…The functional outcomes in ICHs less frequently improve by surgery than those in subcortical or putaminal hemorrhages. [931] Several methods of minimally invasive surgery such as stereotactic-guided evacuation[8] and its modifications[41719] have been developed. Neuroendoscopic evacuation of ICHs has been the treatment modality of choice since the 1990s.…”

Section: Introductionmentioning

confidence: 99%

Neuroendoscopic evacuation of intraventricular hematoma associated with thalamic hemorrhage to shorten the duration of external ventricular drainage

Nomura

Ishihara²,

Yanagawa³

et al. 2010

Surg Neurol Int

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Background:We report neuroendoscopic evacuation of an intraventricular hematoma (IVH) in 13 patients with thalamic hemorrhage. We discuss strategies to improve the outcome and to shorten the management period by using external ventricular drainage (EVD).Methods:Patients were classified into fair (modified Rankin scale [mRS] grade 4 or less) and poor (mRS grade 5) outcome groups, and depending on the duration of EVD, into short (7 days or shorter) and long EVD (8 days or longer) groups.Results:The postoperative residual IVH, graded using the Graeb score, was better for the fair outcome group than for the poor outcome group (3.9 [1.2] vs. 5.7 [1.0], P < 0.05). The postoperative Graeb score was significantly better for the short EVD group than for the long EVD group (3.6 [0.8] vs. 6.0 [0.6], P < 0.01). The duration of EVD was not correlated with the IVH at the fourth ventricle, but it was correlated with the IVH at the foramen of Monro (P < 0.05) and the third ventricle (P < 0.01). Reduction in the volume of thalamic hemorrhage had no effect on the neurological outcome or duration of EVD.Conclusion:Neuroendoscopic evacuation of the IVH at the foramen of Monro and the third ventricle shortened the duration of EVD for hydrocephalus caused by thalamic hemorrhage with IVH involvement. Removal of the thalamic hemorrhage and IVH at the fourth ventricle was not necessary.

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Image-guided Keyhole Evacuation of Spontaneous Supratentorial Intracerebral Hemorrhage

Abstract: The image-guided keyhole approach allowed prompt evacuation of SICH and resulted in a high rate of functional recovery and low mortality. This is a minimally invasive technique that is highly effective in immediate and complete hematoma evacuation.

Cited by 23 publications

References 18 publications

Frontal bur hole through an eyebrow incision for image-guided endoscopic evacuation of spontaneous intracerebral hemorrhage

Frontal bur hole through an eyebrow incision for image-guided endoscopic evacuation of spontaneous intracerebral hemorrhage

Case Scenario: A Patient on Dual Antiplatelet Therapy with an Intracranial Hemorrhage after Percutaneous Coronary Intervention

Neuroendoscopic evacuation of intraventricular hematoma associated with thalamic hemorrhage to shorten the duration of external ventricular drainage

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