Flexible endoscopic treatment of intraventricular casting hematoma
Abstract：Objective To investigate the effect of flexible endoscopic treatment on intraventricular casting hematoma.Methods Clinical data of 11 patients with intraventricular casting hematoma treated with flexible endoscopy at the Department of Neurosurgery,Aviation General Hospital from May 2014 to January 2016 were analyzed retrospectively.The operative time,post-endoscopic ventricular drainage time,additional CSF shunt surgery,3-month post-surgical outcome and related complications were evaluated.Results Two patients who underwent flexible endoscopic surgery on the 4th and 5th day after the onset required additional CSF shunt surgery.In contrast,of the 9 patients who underwent endoscopic surgery on the day of onset,only 1 patient required an additional third ventriculostomy due to secondary obstruction of the aqueduct caused by fibrous adhesion.After 3 months,all 6 patients with mRS scores of 2-3 satisfied all the following criteria:with initial Glasgow Coma Scale scores higher than 8,taken flexible endoscopic surgeries on the day of onset,and with ventricular drainage time of less than 4 d.Conelusions Early flexible endoscopic treatment and ventricular drainage in short time post-surgery are highly effective for patients with intraventricular casting hematomas.
Keywords：Cerebral hemorrhageNeuroendoscopyIntraventricular casting hematoma
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 694-697,封3 )