Surgical Management of Supratentorial Intracerebral haemorrhages: Endoscopic versus Open Surgery.

World Neurosurg. 2018 Mar 19. pii: S1878-8750(18)30327-9. doi: 10.1016/j.wneu.2018.02.056. [Epub ahead of print]

Surgical Management of Supratentorial Intracerebral haemorrhages: Endoscopic versus Open Surgery.

Abstract

OBJECTIVE:

Intracerebral haemorrhage continues to be a major global problem. No standard treatment or surgical procedure has been identified for intracerebral haemorrhages. High morbidity and mortality rates caused by conventional approaches and the disease itself have necessitated more invasive treatment methods. The endoscopic approach is a more minimally invasive method than craniotomy, which is another alternative surgical treatment.

METHODS:

We compared intracerebral haematoma drainage in two groups of 17 patients each, treated with minimally invasive endoscopic method versus craniotomy. All the patients were treated for supratentorial spontaneous haemorrhage between December 2013 and February 2017 at the Neurosurgery Clinic of Ankara University Faculty of Medicine.

RESULTS:

We retrospectively evaluated 34 patients surgically treated between December 2013 and February 2017. All patients underwent surgery within the first 24 hours. Patients in the early surgery group had better surgical outcomes. In the NE group, GCS increased from 6 to 11 at 1 week postoperatively compared with 5 to 9 in the craniotomy group.

CONCLUSIONS:

Minimally invasive endoscopic haematoma evacuation may be a good alternative surgical method for treating supratentorial spontaneous cerebral haematomas.

KEYWORDS:

Intracerebral haemorrhage; craniotomy; endoscopic surgery; haematoma evacuation

PMID:

 

29567287

 

DOI:

 

10.1016/j.wneu.2018.02.056

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