Transaqueductal aspiration of pontine hemorrhage with the aid of a neuroendoscope. Technical note.
case_report · Level V
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Abstract
The authors advocate the use of a 1.7-mm fiberscope to evaluate a hypertensive bilateral tegmental pontine hemorrhage that has ruptured, in part, into the fourth ventricle. In applying this new technique, a fiberscope, which contains a guide tube in the working channel, is inserted into the aqueduct. After the endoscope has been removed, a silicone tube is slid along the guide tube. The hematoma is evacuated through the silicone tube and a potassium titanyl phosphate laser is used to achieve hemostasis.
Medical subject headings
- Cerebral Aqueduct
- Cerebral Hemorrhage
- Endoscopy
- Hematoma
- Pons