Does acute endoscopic evacuation improve the outcome of patients with spontaneous intracerebral hemorrhage?
A new endoscopic technique is presented, which allows burr hole evacuation of intracerebral hematomas under video control. Clot removal is achieved using a suction-irrigation system built in the 6-mm-diameter endoscope; in addition, an ultrasonic morcellement device has been developed for transendoscopic application. Small bleeding vessels in the hematoma cavity can be coagulated using a 1.5 mm Neodym YAG Laser microprobe introduced through the endoscope under visual control. A randomized prospective study has been started to raise again the question of indications for the surgical treatment of intracerebral hemorrhages, comparing medical treatment with the new surgical technique.
D000208:Acute Disease; D002543:Cerebral Hemorrhage / Q000601:surgery*; D004724:Endoscopy; D006801:Humans; D053685:Laser Therapy; D011446:Prospective Studies; D014207:Trephining