J Korean Neurosurg Soc.  1988 Jun;17(3):447-454.

Stereotactic Management of Spontaneous Infratenorial Hemorrhage: Part II: Transtentorial Stereotactic Approach for Spontaneous Intracerebellar Hemorrhage

• Cho SH
• Han DR
• Doh ES
• Kim OL
• Chi YC
• Choi BY

Abstract

The Brown-Robert-Wells(BRW) stereotactic system has many advantages in the supratentorial spontaneous intracerebral hemorrhage(ICH), but is has less accessibility to the spontaneous cerebellar hemorrhage by stereotactic suboccipital approach. To overcome this disadvantage, we have tried to treat stereotactically three patients of spontaneous intracerebellar hemorrhage through tentorium using BRW stereotaxis and gradual irrigation wth urokinase(UK). This new approach has been used successfully under the local anesthesia with satisfactory postoperative neurological results. We present a detailed technique of this approach.

Keyword

Cerebellar hemorrhage; Stereotatic aspiration; Transtentorial approach; Brown-Roverts-Wells system; Urokinase irrigation

MeSH Terms

Anesthesia, Local
Hemorrhage*
Humans