Stereotactic Endoscopic Evacuation of Intraventricular Hematomas

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.