Document Detail


Biportal endoscopic removal of a primary intraventricular hematoma: case report.
MedLine Citation:
PMID:  10794560     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Primary intraventricular hematomas account for approximately 6% of all intracerebral hematomas. If the clot blocks cerebrospinal fluid (CSF) pathways, surgical intervention, which may be of different types, can be life-saving. In the case reported here, after careful preoperative planning the use of two rigid endoscopes permitted the removal of most of the intraventricular clot and restoration of CSF circulation by creation of a 3rd ventriculostomy within the same procedure and no later treatment was necessary. Repeated CT scans proved that only a small portion of the intraventricular clot remained in the ventricular system. The ventricular size normalised, and the patency of the artificial hole in the floor of the 3rd ventricle was demonstrated both by the rapidly improving clinical picture of the patient and by flow-sensitive MRI studies. For individuals who suffer primary intraventricular hemorrhage and later develop occlusive hydrocephalus, endoscopic removal of the clot and 3rd ventriculostomy might offer a more adequate treatment option than external ventricular drainage.
Authors:
Z Horváth; F Veto; I Balás; F Kövér; T Dóczi
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Minimally invasive neurosurgery : MIN     Volume:  43     ISSN:  0946-7211     ISO Abbreviation:  Minim Invasive Neurosurg     Publication Date:  2000 Mar 
Date Detail:
Created Date:  2000-07-14     Completed Date:  2000-07-14     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9440973     Medline TA:  Minim Invasive Neurosurg     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  4-8     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, University Medical School, Pécs, Hungary.
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MeSH Terms
Descriptor/Qualifier:
Adult
Cerebral Ventricles* / surgery
Endoscopy*
Hematoma / radiography,  surgery*
Humans
Intracranial Hemorrhages / radiography,  surgery*
Male
Preoperative Care
Thrombectomy
Tomography, X-Ray Computed
Treatment Outcome
Ventriculostomy / methods

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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