Transaqueductal aspiration of pontine hemorrhage with the aid of a neuroendoscope. Technical note.
The authors advocate the use of a 1.7-mm fiberscope to evaluate a hypertensive bilateral tegmental pontine hemorrhage that has ruptured, in part, into the fourth ventricle. In applying this new technique, a fiberscope, which contains a guide tube in the working channel, is inserted into the aqueduct. After the endoscope has been removed, a silicone tube is slid along the guide tube. The hematoma is evacuated through the silicone tube and a potassium titanyl phosphate laser is used to achieve hemostasis.
Takimoto
Hiroshi
H
Department of Neurosurgery, Osaka Neurological Institute, Toyonaka, Japan. malaica@xa2.so-net.ne.jp
Iwaisako
Kousuke
K
Kubo
Shigeki
S
Yamanaka
Kazunori
K
Karasawa
Jun
J
Yoshimine
Toshiki
T
D000368:Aged; D001707:Biopsy, Needle / Q000295:instrumentation / Q000379:methods; D002535:Cerebral Aqueduct / Q000601:surgery*; D002543:Cerebral Hemorrhage / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D004724:Endoscopy / Q000379:methods*; D006406:Hematoma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D006801:Humans; D008297:Male; D011149:Pons / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D011182:Postoperative Care; D014057:Tomography, X-Ray Computed