BACKGROUND: A unique method of evacuation of hypertensive putaminal hemorrhage (HPH) using a stainless steel tube as a corridor under the assistance of a rigid endoscope is described. A simplified method to determine the precise location for burr hole placement is also reported. METHODS: From May 2003 to April 2004, 9 patients with HPH underwent endoscopic surgery in our hospital. Two different entry sites (temporal and frontal) were used to approach the hematoma in our series. RESULTS: The hematoma evacuation rate was more than 90% (median 93%) with the frontal approach and 84% with the temporal approach. CONCLUSIONS: Using a combination of a stainless steel tube, rigid endoscope, and coagulation suction with a frontal approach can facilitate optimal evacuation of HPH.
BACKGROUND: A unique method of evacuation of hypertensive putaminal hemorrhage (HPH) using a stainless steel tube as a corridor under the assistance of a rigid endoscope is described. A simplified method to determine the precise location for burr hole placement is also reported. METHODS: From May 2003 to April 2004, 9 patients with HPH underwent endoscopic surgery in our hospital. Two different entry sites (temporal and frontal) were used to approach the hematoma in our series. RESULTS: The hematoma evacuation rate was more than 90% (median 93%) with the frontal approach and 84% with the temporal approach. CONCLUSIONS: Using a combination of a stainless steel tube, rigid endoscope, and coagulation suction with a frontal approach can facilitate optimal evacuation of HPH.
Authors: Christopher Beynon; Patrick Schiebel; Julian Bösel; Andreas W Unterberg; Berk Orakcioglu Journal: Neurosurg Rev Date: 2015-02-17 Impact factor: 3.042