Technical exploration of neuroendoscopy in the treatment of basal ganglia cerebral hemorrhage

doi:10.3877/cma.j.issn.2095-123X.2025.05.012

Abstract

Abstract:

Acute massive hypertensive intracerebral hemorrhage can lead to brain herniation, endangering the patient's life. The basal ganglia region is the most common site of hemorrhage. Minimally invasive craniotomy using neuroendoscopy to evacuate intracranial hematomas has been widely adopted, achieving favorable therapeutic outcomes. This article systematically reviews the background, surgical indications, treatment strategies, procedural steps, postoperative management considerations, and efficacy of neuroendoscopy for basal ganglia hemorrhage, and provides a technical summary, aiming to provide reference for clinical treatment.

Key words: Hypertensive intracerebral hemorrhage, Basal ganglia region, Neuroendoscopy

Xinyu Li, Jianfeng Liang. Technical exploration of neuroendoscopy in the treatment of basal ganglia cerebral hemorrhage[J]. Chinese Journal of Brain Diseases and Rehabilitation(Electronic Edition), 2025, 15(05): 317-320.

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Figures/Tables 5

Fig.1 Preoperative head CT of the patient with basal ganglia cerebral hemorrhage

Fig.2 Head CT re-examined one day postoperatively of the patient with basal ganglia cerebral hemorrhage

Fig.3 Preoperative preparation for craniotomy and removal of intracranial hematoma under neuroendoscopy

Fig.4 Schematic diagram of transtemporal approach for neuroendoscopic surgery

Fig.5 Schematic diagram of transfrontal approach for neuroendoscopic surgery

References 7

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