Minimally invasive approach to traumatic intracerebral hematomas.
Trauma is one of the leading causes of death in Brazil. We report on 28 cases of traumatic intracerebral hematomas operated on via a minimally invasive approach. A simplified method of localization and right placement of the burr hole is described in details, as well as the technique used in all cases. Every patient was submitted to pre- and postoperative CT scan (computerized tomography) and had the volume of the hematoma measured before the surgical procedure to compare the efficacy of the treatment. No patient needed a second operation, even though in some cases there were residual hematomas. We believe that this approach can be done with safety and replace a standard craniotomy in selected cases.
Fernandes
Y B
YB
Hospital das Clincas da Unicamp, State University of Campinas, Sao Paulo, Brazil. yvens@uol.com.br
Borges
G
G
Ramina
R
R
Carvalho
F S
FS
Cançado
B L
BL
Morais
J V
JV
D000059:Accidents; D000328:Adult; D001938:Brazil; D020202:Cerebral Hemorrhage, Traumatic / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D014207:Trephining / Q000379:methods