Robotic Stereotactic Assistance (ROSA) Utilization for Minimally Invasive Placement of Intraparenchymal Hematoma and Intraventricular Catheters

World Neurosurg. 2017 Dec:108:996.e7-996.e10. doi: 10.1016/j.wneu.2017.09.027. Epub 2017 Sep 14.

Abstract

Background: In patients with supratentorial spontaneous intracerebral hemorrhage, intrahematomal catheter placement may allow for intraclot thrombolysis and drainage. Robotic assistance may be used for the stereotactic placement of catheters.

Case description: A 76-year-old male presented with altered mental status and left-sided weakness. Noncontrast computed tomography of the head showed a right ganglionic intraparenchymal hemorrhage with resultant entrapment of the temporal horn. Using Robotic Stereotactic Assistance, intrahematomal and intraventricular catheters were placed. The temporal horn was immediately decompressed, and the hematoma almost completely resolved with scheduled administration of intrathecal alteplase in the ensuing 48 hours postoperatively.

Conclusion: Frameless image-guided placement of intraparenchymal hematoma catheter using Robotic Stereotactic Assistance is safe and efficient.

Keywords: Intracerebral hematoma; Intraparenchymal hematoma; Minimally invasive; Robotic assistance.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Catheterization
  • Catheters, Indwelling
  • Cerebral Hemorrhage / complications
  • Cerebral Hemorrhage / diagnostic imaging
  • Drainage / methods
  • Fibrinolytic Agents / administration & dosage*
  • Hematoma / diagnostic imaging
  • Hematoma / etiology
  • Hematoma / therapy*
  • Humans
  • Hydrocephalus / diagnostic imaging
  • Hydrocephalus / etiology
  • Injections, Spinal
  • Magnetic Resonance Imaging
  • Male
  • Minimally Invasive Surgical Procedures / methods*
  • Robotic Surgical Procedures / methods*
  • Stereotaxic Techniques*
  • Tissue Plasminogen Activator / administration & dosage*
  • Tomography, X-Ray Computed

Substances

  • Fibrinolytic Agents
  • Tissue Plasminogen Activator