Neuroendoscopic approach to ıntracerebral hemorrhages opening to the ventricle

INTRODUCTION: Because of the intense contents of the hematoma, the external drainage system is often blocked and cannot function as expected. Subsequently, hydrocephalus develops. In our clinic, the process of hematoma evacuation with the help of neuroendoscopy and placement of external ventricular drainage is carried out in the same session as a treatment for patients with intracerebral hemorrhage opening into the ventricle. This study aimed to show the method we used in our clinic and its results.
METHODS: This study evaluated patients who applied to our hospital’s brain and neurosurgical clinic with a spontaneous intracerebral hemorrhage diagnosis between January 1, 2020, and January 1, 2023. Of these, 13 patients whose hematoma was evacuated with the help of a neuroendoscope and external ventricular drainage system which was placed in the same session were included in the study. Data such as age, gender, the anatomical region of the bleeding, bleeding volume, external ventricular drainage time, operation time after bleeding, Glasgow coma score, development of hydrocephalus, and mortality of these patients were analyzed.
RESULTS: Of the 13 patients who met the criteria of the study, 9 (69.2%) were male and 4 (30.8%) were female. In all patients, the pathology was located in the thalamic (100%). Hydrocephalus was not observed in any patient (0%). Three of the patients became exitus after the procedure (23.1%).
DISCUSSION AND CONCLUSION: We think that endoscopic intraventricular hematoma evacuation is a simple method in the treatment of patients with spontaneous intracerebral hemorrhage opening into the ventricle and has a low risk of complications.