Surgical Management of Supratentorial Intracerebral Hemorrhages: Endoscopic Versus Open Surgery

Umit Eroglu, Gokmen Kahilogullari, Ihsan Dogan, Fatih Yakar, Eyyub S.M. Al-Beyati, Onur Ozgural, Aaron Cohen-Gadol, Hasan Caglar Ugur

Research output: Contribution to journalArticle

12 Scopus citations

Abstract

Objective: Intracerebral hemorrhage continues to be a major global problem. No standard treatment or surgical procedure has been identified for intracerebral hemorrhages. High morbidity and mortality rates caused by conventional approaches and the disease itself have necessitated more-invasive treatment methods. The endoscopic approach is a more minimally invasive method than craniotomy, which is another alternative surgical treatment. Methods: We compared intracerebral hematoma drainage in 2 groups of 17 patients each, treated with minimally invasive endoscopic method versus craniotomy. All the patients were treated for supratentorial spontaneous hemorrhage between December 2013 and February 2017 at the Neurosurgery Clinic of Ankara University Faculty of Medicine. Results: We retrospectively evaluated 34 patients surgically treated between December 2013 and February 2017. All patients underwent surgery within the first 24 hours. Patients in the early surgery group had better surgical outcomes. In the neuroendoscopic group, Glasgow Coma Scale increased from 6 to 11 at 1 week postoperatively compared with 5 to 9 in the craniotomy group. Conclusions: Minimally invasive endoscopic hematoma evacuation may be a good alternative surgical method for treating supratentorial spontaneous cerebral hematomas.

Original languageEnglish (US)
JournalWorld Neurosurgery
DOIs
StateAccepted/In press - Jan 1 2018

Keywords

  • Craniotomy
  • Endoscopic surgery
  • Hematoma evacuation
  • Intracerebral hemorrhage

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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    Eroglu, U., Kahilogullari, G., Dogan, I., Yakar, F., Al-Beyati, E. S. M., Ozgural, O., Cohen-Gadol, A., & Ugur, H. C. (Accepted/In press). Surgical Management of Supratentorial Intracerebral Hemorrhages: Endoscopic Versus Open Surgery. World Neurosurgery. https://doi.org/10.1016/j.wneu.2018.02.056