• World Neurosurg · Feb 2013

    Review

    Endoscopic management of intracerebral hemorrhage.

    • Pierluigi Longatti and Luca Basaldella.
    • Department of Neurosurgery, Treviso Regional Hospital, University of Padova, Treviso, Italy. plongatti@ulss.tv.it
    • World Neurosurg. 2013 Feb 1;79(2 Suppl):S17.e1-7.

    ObjectivesMassive intracerebral and intraventricular hemorrhages require aggressive and rapid management to decrease intracranial hypertension. The amount of intraventricular blood is a strong prognostic predictor, and its fast removal is a priority. Neuroendoscopy may offer some advantages over more traditional surgical approaches.MethodsAll relevant data described in our experience and in publications about minimally invasive treatment of intraventricular and intracerebral hemorrhage found through MEDLINE searches and related references are reviewed.ResultsWe described the technical details of neuroendoscopic management, highlighting the potential pitfalls and advantages of the techniques.ConclusionEarly neuroendoscopic surgery is a feasible approach, allowing, in most instances, rapid clinical and radiological improvement.Copyright © 2013 Elsevier Inc. All rights reserved.

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