• Umit Eroglu, Gokmen Kahilogullari, Ihsan Dogan, and Fatih Yakar.
• Department of Neurosurgery, Faculty of Medicine, Ankara University, Ankara, Turkey. Electronic address: umitkovikeroglu@hotmail.com.
• World Neurosurg. 2018 Jun 1; 114: e60-e65.

ObjectiveIntracerebral hemorrhage continues to be a major global problem. No standard treatment or surgical procedure has been identified for intracerebral hemorrhages. 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.MethodsWe compared intracerebral hematoma drainage in 2 groups of 17 patients each, treated with minimally invasive endoscopic method versus craniotomy. All the patients were treated for supratentorial spontaneous hemorrhage between December 2013 and February 2017 at the Neurosurgery Clinic of Ankara University Faculty of Medicine.ResultsWe 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 neuroendoscopic group, Glasgow Coma Scale increased from 6 to 11 at 1 week postoperatively compared with 5 to 9 in the craniotomy group.ConclusionsMinimally invasive endoscopic hematoma evacuation may be a good alternative surgical method for treating supratentorial spontaneous cerebral hematomas.Copyright © 2018 Elsevier Inc. All rights reserved.

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