scholarly journals Surgical options of hypertensive intracerebral hematoma: stereotactic endoscopic removal versus stereotactic catheter drainage

1998 ◽  
Vol 13 (5) ◽  
pp. 533 ◽  
Author(s):  
M H Kim ◽  
E Y Kim ◽  
J H Song ◽  
K M Shin
1996 ◽  
Vol 1 (4) ◽  
pp. E5 ◽  
Author(s):  
Myung-Hyun Kim ◽  
Jun-Hyeok Song ◽  
Sung-Hak Kim ◽  
Dong-Bin Park ◽  
Kyu-Man Shin

The development of less invasive methods to evacuate intracerebral hematomas (ICHs) has improved outcome in patients with traumatic brain injury. Eighteen patients with ICHs underwent surgery via one of two methods: stereotactic endoscopic removal (SER) or stereotactic catheter drainage (SCD). The outcome results were then compared. The patient population was composed of 11 men and seven women with a mean age of 53.3 years (range 33-81 years), all suffering from ICH in the basal ganglia. The mean hematoma volume was 34.4 ml (range 23-105 ml). All patients had major neurological deficits, but showed no sign of transtentorial herniation. Ten patients underwent SCD and eight had SER. All procedures were performed within 24 hours of insult. After local anesthesia was induced in the patient, an intracranial pressure (ICP) monitoring catheter and an Otzuki cannula were placed through separate burr holes in the skull. Using the SER technique, the ICH was removed using suction and forceps through the side window of the cannula until the ICP had decreased significantly. Hemostasis was attained by lesioning with a Nd-YAG laser. In the SCD procedure, we placed a silicone catheter into the hematoma to drain it and then added urokinase. The hematoma was drained for 3 to 5 days in the SER method and 7 to 10 days in the SCD method. Rebleeding occurred in one of the early cases in which we used the SER procedure. At follow-up evaluation, the mortality rate was 13% in the SER group and 10% in the SCD group. The patients in whom outcome was most improved from these treatments were those who had been admitted with an impaired level of consciousness. Stereotactic catheter drainage is a precise, safe, and brief procedure with a very low rebleeding rate, but its outcome effect was more delayed than other procedures. Stereotactic endoscopic removal can easily replace SCD, with a similar mortality rate. Both procedures can be accomplished under direct visualization so as to eliminate any undesirable event or outcome.


2002 ◽  
Vol 81 (5) ◽  
pp. 327-329 ◽  
Author(s):  
Brian Matthews ◽  
Chris Whang ◽  
Steve Smith

Advances in endoscopic sinus surgery technique and technology have provided the otolaryngologist with a wide array of surgical options for the management of nasal and paranasal sinus diseases that were once limited to procedures requiring invasive surgery. We describe the case of a patient with a chondrosarcoma of the posterior nasal septum that was resected endoscopically. There have been fewer than 30 reports in the English-language literature of chondrosarcomas arising at this location, and the reported approaches to surgical excision in these cases involved craniofacial procedures, facial degloving, facial splitting, and maxillectomy techniques. Until now, no case of endoscopic removal has been reported.


2009 ◽  
Vol 40 (8) ◽  
pp. 22
Author(s):  
KERRI WACHTER
Keyword(s):  

Author(s):  
B. Iliev ◽  
Y. Enchev ◽  
T. Avramov ◽  
Pl. Trendafilov ◽  
T. Kondev ◽  
...  

Author(s):  
Almir Džurlić ◽  
Ibrahim Omerhodžić ◽  
Alija Čeljo ◽  
Nermina Iblizović ◽  
Maida Nikšić ◽  
...  

2020 ◽  
Author(s):  
A Terán ◽  
M Moris ◽  
CD Pozo ◽  
M Pascual ◽  
JC Rodriguez Duque ◽  
...  

1993 ◽  
Vol 29 (5) ◽  
pp. 923
Author(s):  
Young Shin Kim ◽  
Kyung Ah Chun ◽  
Hyo Sun Choi ◽  
Hyun Kown Ha ◽  
Kyung Sub Shinn

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