Endoscopic management of intracerebral hemorrhage.

Abstract

Massive intracerebral and intraventricular hemorrhages require aggressive and rapid management to decrease intracranial hypertension. The amount of intraventricular blood is a strong prognostic predictor, and its fast removal is a priority. Neuroendoscopy may offer some advantages over more traditional surgical approaches. All relevant data described in our experience and in publications about minimally invasive treatment of intraventricular and intracerebral hemorrhage found through MEDLINE searches and related references are reviewed. We described the technical details of neuroendoscopic management, highlighting the potential pitfalls and advantages of the techniques. Early neuroendoscopic surgery is a feasible approach, allowing, in most instances, rapid clinical and radiological improvement.