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Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System
Large lobar intracerebral hemorrhages (ICHs) can cause rapid neurological deterioration, and affected patients have low rates of survival and functional independence. Currently, the role of surgical intervention in the management patients with lobar ICHs is controversial. Minimally invasive technolo...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678210/ https://www.ncbi.nlm.nih.gov/pubmed/29152469 http://dx.doi.org/10.7461/jcen.2017.19.2.101 |
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author | Ding, Dale Przybylowski, Colin J. Starke, Robert M. Crowley, R. Webster Liu, Kenneth C. |
author_facet | Ding, Dale Przybylowski, Colin J. Starke, Robert M. Crowley, R. Webster Liu, Kenneth C. |
author_sort | Ding, Dale |
collection | PubMed |
description | Large lobar intracerebral hemorrhages (ICHs) can cause rapid neurological deterioration, and affected patients have low rates of survival and functional independence. Currently, the role of surgical intervention in the management patients with lobar ICHs is controversial. Minimally invasive technologies have been developed which may potentially decrease the operative morbidity of ICH surgery. The aim of this case report is to describe the technical aspects of the use of a novel minimally invasive endoport system, the BrainPath (NICO, Indianapolis, IN, USA), through an eyebrow incision for evacuation of a large lobar hematoma. An 84-year-old female presented with a left frontal ICH, measuring 7.5 cm in maximal diameter and 81 cm(3) in volume, secondary to cerebral amyloid angiopathy. Through a left eyebrow incision, a miniature modified orbitozygomatic craniotomy was performed, which allowed endoport cannulation of the hematoma from a lateral subfrontal cortical entry point. Endoport-assisted hematoma evacuation resulted in nearly 90% volume reduction and improvement of the patient's functional status at clinical follow-up. We found that minimally invasive endoport technology can be employed in conjunction with conventional neurosurgical skull base principles to achieve safe and effective evacuation of large lobar hematomas in carefully selected patients. |
format | Online Article Text |
id | pubmed-5678210 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-56782102017-11-17 Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System Ding, Dale Przybylowski, Colin J. Starke, Robert M. Crowley, R. Webster Liu, Kenneth C. J Cerebrovasc Endovasc Neurosurg Case Report Large lobar intracerebral hemorrhages (ICHs) can cause rapid neurological deterioration, and affected patients have low rates of survival and functional independence. Currently, the role of surgical intervention in the management patients with lobar ICHs is controversial. Minimally invasive technologies have been developed which may potentially decrease the operative morbidity of ICH surgery. The aim of this case report is to describe the technical aspects of the use of a novel minimally invasive endoport system, the BrainPath (NICO, Indianapolis, IN, USA), through an eyebrow incision for evacuation of a large lobar hematoma. An 84-year-old female presented with a left frontal ICH, measuring 7.5 cm in maximal diameter and 81 cm(3) in volume, secondary to cerebral amyloid angiopathy. Through a left eyebrow incision, a miniature modified orbitozygomatic craniotomy was performed, which allowed endoport cannulation of the hematoma from a lateral subfrontal cortical entry point. Endoport-assisted hematoma evacuation resulted in nearly 90% volume reduction and improvement of the patient's functional status at clinical follow-up. We found that minimally invasive endoport technology can be employed in conjunction with conventional neurosurgical skull base principles to achieve safe and effective evacuation of large lobar hematomas in carefully selected patients. Korean Society of Cerebrovascular Surgeons; Society of Korean Endovascular Neurosurgeons 2017-06 2017-06-30 /pmc/articles/PMC5678210/ /pubmed/29152469 http://dx.doi.org/10.7461/jcen.2017.19.2.101 Text en © 2017 Journal of Cerebrovascular and Endovascular Neurosurgery http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Ding, Dale Przybylowski, Colin J. Starke, Robert M. Crowley, R. Webster Liu, Kenneth C. Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System |
title | Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System |
title_full | Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System |
title_fullStr | Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System |
title_full_unstemmed | Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System |
title_short | Eyebrow Incision for Surgical Evacuation of a Lobar Intracerebral Hematoma with a Novel Endoport System |
title_sort | eyebrow incision for surgical evacuation of a lobar intracerebral hematoma with a novel endoport system |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5678210/ https://www.ncbi.nlm.nih.gov/pubmed/29152469 http://dx.doi.org/10.7461/jcen.2017.19.2.101 |
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