Endoscopic-assisted removal of traumatic brain hemorrhage: case report and technical note.

Autor: Nascimento CN; Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil clangnnc@gmail.com., Amorim RL; Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil., Mandel M; Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil., do Espírito Santo MP; Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil., Paiva WS; Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil., Andrade AF; Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil., Teixeira MJ; Division of Neurosurgery, University of São Paulo Medical School, São Paulo, Brazil Division of Neurosurgery, Faculdade de Medicina da Universidade de São Paulo, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2015 Nov 03; Vol. 2015 (11). Date of Electronic Publication: 2015 Nov 03.
DOI: 10.1093/jscr/rjv132
Abstrakt: The endoscopic technique has been described as a minimally invasive method for spontaneous hematoma evacuation, as a safe and effective treatment. Nevertheless, to our knowledge, there is no description of a technical report of traumatic intracerebral hematoma removal using the neuroendoscope. A 47-year-old man was admitted sustaining 13 points in Glasgow coma scale with brain computed tomography (CT) scan showing a temporal contusion. Guided by a 3D reconstructed CT, using the program OsiriX®, the posterior limit of the hematoma was identified. A burr hole was placed at the posterior temporal region, and we used the neuroendoscope to assist the hematoma evacuation. The postoperative tomography showed adequate hematoma removal. He was discharged from hospital 48 h after surgery. Two weeks later, he was conscious and oriented temporally. This endoscopic-assisted technique can provide safe removal of traumatic hematomas of the temporal lobe.
(Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2015.)
Databáze: MEDLINE
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