title: Endoscopic-assisted removal of traumatic brain hemorrhage: case report and technical note.
abstract: The endoscopic technique has been described as a minimally invasive method for spontaneous hematoma evacuation, as a safe and effective treatment. Nevertheless, to our knowledge, there is no description of a technical report of traumatic intracerebral hematoma removal using the neuroendoscope. A 47-year-old man was admitted sustaining 13 points in Glasgow coma scale with brain computed tomography (CT) scan showing a temporal contusion. Guided by a 3D reconstructed CT, using the program OsiriX®, the posterior limit of the hematoma was identified. A burr hole was placed at the posterior temporal region, and we used the neuroendoscope to assist the hematoma evacuation. The postoperative tomography showed adequate hematoma removal. He was discharged from hospital 48 h after surgery. Two weeks later, he was conscious and oriented temporally. This endoscopic-assisted technique can provide safe removal of traumatic hematomas of the temporal lobe.
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil clangnnc@gmail.com.
authors.forename: Clarissa Nóbrega Gambarra
authors.initials: CN
authors.lastname: Nascimento
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: Robson Luis
authors.initials: RL
authors.lastname: Amorim
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: Maurício
authors.initials: M
authors.lastname: Mandel
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: Marcelo Prudente
authors.initials: MP
authors.lastname: do Espírito Santo
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: Wellingson Silva
authors.initials: WS
authors.lastname: Paiva
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil.
authors.forename: Almir Ferreira
authors.initials: AF
authors.lastname: Andrade
authors.affiliation: Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil Division of Neurosurgery, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
authors.forename: Manoel Jacobsen
authors.initials: MJ
authors.lastname: Teixeira