Three-dimensional reconstructed CT scanning for targeting hypertensive putaminal hemorrhage

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
Hung-Lin LinDer-Yang Cho

Abstract

We developed an accurate frontal targeting method for hypertensive putaminal hemorrhage (HPH) using three-dimensional (3D) reconstructed CT scanning. Five consecutive unconscious patients with a significant volume of HPH were treated neuroendoscopically via frontal trephination. CT images were examined and reconstructed by an independent neuroradiologist for measuring the selected frontal entry point, depth of penetrating path, and surgical trajectory on the basis of the plane formed by the bilateral orbitomental lines delineated on the reconstructed 3D CT images. All patients regained consciousness post-operatively without complications. All had an accurate trajectory of penetrating path and the average percentage hematoma evacuation was 84%. Use of the 3D reconstructed CT imaging technique combined with neuroendoscopy may prove valuable as a minimally invasive and time-saving method of targeting HPH. Using this method, no further CT scanning is needed for subsequent surgical planning.

References

Mar 1, 1975·Lancet·B Jennett, M Bond
Jul 1, 1983·Stroke; a Journal of Cerebral Circulation·R KwakT Suzuki
Dec 19, 2002·Neurosurgery Clinics of North America·Kenneth M Little, Michael J Alexander
Nov 25, 2003·Minimally Invasive Neurosurgery : MIN·T NakanoS Suzuki
Nov 9, 2005·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Chun-Chung ChenHan-Chung Lee

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Citations

Jul 26, 2011·Neurologia Medico-chirurgica·Kimihiko YokosukaShunji Matsubara
Apr 7, 2020·Scientific Reports·Jun ZhangYuqian Li

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