Minimally invasive image-guided endoscopic evacuation of intracerebral haemorrhage: How I Do it

Acta Neurochir (Wien). 2023 Jun;165(6):1597-1602. doi: 10.1007/s00701-022-05326-3. Epub 2022 Aug 5.

Abstract

Background: Minimally invasive endoscopic hematoma evacuation (MEHE) is an emerging surgical technique for treating spontaneous supratentorial intracerebral haemorrhage (SSICH). Multiple studies, analysing whether the outcome after such a procedure is improved, are still ongoing.

Method: We herein present the indications, advantages, and perioperative considerations for the surgical technique of MEHE applied at our institution.

Conclusion: MEHE with a view through a transparent brain access device is a valid and safe approach for the surgical evacuation of SSICH.

Trial registration: ClinicalTrials.gov NCT04805177.

Keywords: Endoscopic surgery; Haemorrhagic stroke; Intracerebral haemorrhage; Minimally invasive surgery; Neurosurgery.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Cerebral Hemorrhage* / diagnostic imaging
  • Cerebral Hemorrhage* / surgery
  • Endoscopy* / methods
  • Humans
  • Minimally Invasive Surgical Procedures / methods
  • Neuronavigation / methods
  • Treatment Outcome

Associated data

  • ClinicalTrials.gov/NCT04805177