Early recovery and better evacuation rate in neuroendoscopic surgery for spontaneous intracerebral hemorrhage using a multifunctional cannula: preliminary study in comparison with craniotomy

Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association
Toru NagasakaToshihiko Wakabayashi

Abstract

Neuroendoscopy is a promising therapeutic option for spontaneous intracerebral hemorrhage (ICH). We sought to compare the clinical outcomes between neuroendoscopic surgery and craniotomy for spontaneous ICH. We retrospectively analyzed the clinical and radiographic data of 43 patients treated with 23 neuroendoscopic procedures (endoscopy group) and 20 microsurgical procedures (craniotomy group). Rebleeding rate, surgical complications, and/or death were identified as primary clinical endpoints during the 2-month postoperative follow-up period. Evacuation rate, Glasgow Coma Scale (GCS) score at day 7, and Glasgow Outcome Scale (GOS) score were compared as well. A composite primary endpoint was observed in 5 cases (11.6%), including 1 postoperative death in the endoscopy group (4.3%) and 4 postoperative deaths in the craniotomy group (20.0%). No rebleeding was observed in the endoscopy group. The evacuation rate was significantly higher in the endoscopy group compared with the craniotomy group (99.0% vs 95.9%; P < .01). Mean GCS score at day 7 was 12 for the endoscopy group and 9.1 for the craniotomy group (P < .05). The mean change in GCS score was +4.8 for the endoscopy group and -0.1 for the craniotomy group (P < .001). Our da...Continue Reading

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Citations

Aug 7, 2014·Der Nervenarzt·J BöselO W Sakowitz
Mar 3, 2012·World Neurosurgery·Pierluigi Longatti, Luca Basaldella
Mar 13, 2016·World Neurosurgery·Sun-Chul HwangBum-Tae Kim
Feb 18, 2015·Neurosurgical Review·Christopher BeynonBerk Orakcioglu
Jul 14, 2010·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Toru NagasakaToshihiko Wakabayashi
Dec 4, 2014·Journal of the Chinese Medical Association : JCMA·Wei-Hsin WangCheng-Chia Lee
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Apr 4, 2021·Diagnostics·Theodore C HannahChristopher P Kellner
Jun 6, 2021·Scientific Reports·Qiang CaiShanping Mao

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