Initial experience with minimally invasive endoscopic evacuation of intracerebral hemorrhage in the setting of radiographic herniation

Spontaneous intracerebral hemorrhage (ICH) can rapidly result in cerebral herniation, leading to poor neurologic outcomes or mortality. To date, neither decompressive hemicraniectomy (DH) nor hematoma evacuation have been conclusively shown to improve outcomes for comatose ICH patients presenting with cerebral herniation, with these patients largely excluded from clinical trials. Here we present the outcomes of a series of patients presenting with ICH and radiographic herniation who underwent emergent minimally invasive (MIS) ICH evacuation.

Source: Journal of Stroke and Cerebrovascular Diseases - August 23, 2023 Category: Neurology Authors: Muhammad Ali, Georgios A. Maragkos, Kurt A. Yaeger, Alexander J. Schupper, Trevor A. Hardigan, Vikram Vasan, Braxton R. Schuldt, Ian C. Odland, Margaret Downes, Jonathan Dullea, Luis C. Ascanio, Zachary S. Troiani, Nicki Mohammadi, Jacques Lara-Reyna, Rob Source Type: research