J Korean Neurosurg Soc.  2002 Jun;31(6):605-611.

Stereotactic Endoscopic Evacuation of Intraventricular Hematomas

• Son BC
• Kim MC
• Kang JK

Abstract

Over the last decades, the use of endoscope in neurosurgery gradually gained importance. Although the major indication of neuroendoscopic procedure is intraventricular procedures, the experience of neuroendoscopic intervention of intraventricular hemathoma is rather small. The authors present our experience of four patients with acute ventricular dilatation with intraventricular hematoma through frame-based stereotactic guidance. Through neuroendoscopic intervention, the clot was removed more than 80% each procedure. After the procedure, the silastic catheter was left for continuous intraventricular pressure monitoring. Neither thrombolytic agent nor hyperosmolar treatment was needed postoperatively. There was no mortality or morbidity directly related to endoscopic procedure itself. Brief overview of this technique is given.

Keyword

Intraventricular hematoma; Neuroendoscope; Stereotaxis; External ventricular drainage

MeSH Terms

Catheters
Dilatation
Endoscopes
Hematoma*
Humans
Mortality
Neuroendoscopes
Neurosurgery
Ventricular Pressure