Minimally Invasive Management of Spontaneous Supratentorial Intracerebral Lobar Hemorrhages by a "Homemade" Endoscopic Strategy: The Evangelical Doctrine of "Venite ad Me" Allied to the Legacy of King Leonida.


BACKGROUND:Although the incidence of intracerebral hemorrhage (ICH) has appeared to be increasing over the years, its prognosis remains dismal. No consensus has yet been reached regarding the management of ICH; however, minimally invasive surgery should limit, if not avoid, intraoperative parenchymal damage. Therefore, we have presented a novel, modified "homemade" approach aimed to shorten the operative time and minimize the corticectomy and brain manipulation. METHODS:From 2008 to 2017, 53 patients (32 men and 21 women; mean age, 63.8 years) were admitted to our neurosurgery department and surgically treated for a lobar ICH. A modified suction tube, coupled with the endoscope light source, was used. Clot evacuation was performed under loupe magnification without the use of the microscope or endoscope. The light source of the latter was only used to provide light in the working cavity. RESULTS:The mean hematoma volume was 69.2 mL (range, 40-100) preoperatively and 12.1 mL (range, 0-20) postoperatively, with a mean clot evacuation of 84.3% (range, 60%-100%). The mean postoperative Glasgow coma scale score was 11.6, with an improvement of 14% from the admission score (mean, 9.2). CONCLUSIONS:The results from our clinical series have shown the effectiveness of endoscopic clot evacuation in surgical ICH. In addition, we have demonstrated an efficient technique that can be used in urgent cases and in less-developed areas owing to its reduced demand on resources and its shorter learning curve. The outcomes were good and comparable to those with the classical endoscopic approach.


World Neurosurg


World neurosurgery


Alberio N,Cicero S,Iacopino DG,Giammalva GR,Visocchi M,Olivi A,Francaviglia N,Battaglia R,Spitaleri A,Lipani R,Ruggeri L,Alessandrello R,Cinquemani A,Maugeri R




Has Abstract


2019-02-01 00:00:00












  • Adrenocorticotropic hormone-producing pituitary carcinoma with intracranial metastases.

    abstract:BACKGROUND:Pituitary carcinomas are rare and challenging clinical entities. Because of the paucity of cases, there is limited information in the literature on how best to diagnose and treat pituitary carcinomas. METHODS:We review the literature and describe a woman who presented with an adrenocorticotropic hormone (AC...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Shastri BR,Nanda A,Fowler M,Levine SN

    更新日期:2013-02-01 00:00:00

  • A Novel Hybrid Endoscopic Approach for Anterior Cervical Discectomy and Fusion and a Meta-Analysis of the Literature.

    abstract:BACKGROUND:We describe our experience in the endoscopic treatment of cervical spondylosis. We present a "hybrid" technique that is similar to an open anterior cervical discectomy with fusion but is performed endoscopically. We also analyzed data from studies on endoscopic cervical discectomies published in the past 2 d...

    journal_title:World neurosurgery

    pub_type: 杂志文章,meta分析


    authors: Tacconi L,Giordan E

    更新日期:2019-11-01 00:00:00

  • Basiespinal Cerebrospinal Fluid Leak as a Complication After Adenoidectomy: Case Report and Literature Review.

    abstract:BACKGROUND:Adenoidectomy is one of the most common procedures in the field of pediatric otolaryngology. Postoperative bleeding is one of the most frequent complications (0.4%). In turn, cerebrospinal fluid fistula is a very uncommon but critical complication in this type of surgery. METHODS:We report the case of a 3-y...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Moreno-Luna R,Cárdenas Ruiz-Valdepeñas E,Tato JI,Rivero-Garvia M,Márquez-Rivas J,Mochón Martín A

    更新日期:2016-09-01 00:00:00

  • Transforaminal Percutaneous Endoscopic Decompression for Lower Thoracic Spinal Stenosis.

    abstract:OBJECTIVE:To explore the effect and safety of transforaminal percutaneous endoscopic decompression for lower thoracic spinal stenosis. METHODS:We reviewed 6 patients receiving transforaminal percutaneous endoscopic thoracic decompression for sympathetic symptoms in the lower extremities. Pre- and postoperative Frankel...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Guo C,Zhu D,Kong Q,Zhang L,Wang Y,Yang J,Yan Y,Wu H,Peng Z

    更新日期:2019-08-01 00:00:00

  • Cisternostomy: A Timely Intervention in Moderate to Severe Traumatic Brain Injuries: Rationale, Indications, and Prospects.

    abstract::Traumatic brain injury (TBI) represents a major public health concern worldwide, with no significant change in its epidemiology over the last 30 years. After TBI, the primary injury induces irreversible brain damage, which is untreatable. The subsequent secondary injury plays a critical role in the clinical prognosis ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Cherian I,Burhan H,Dashevskiy G,Motta SJH,Parthiban J,Wang Y,Tong H,Torregrossa F,Grasso G

    更新日期:2019-11-01 00:00:00

  • Endoscopic Supracerebellar Transtentorial Approach to Atrium of Lateral Ventricle: Preliminary Surgical and Optical Considerations.

    abstract:OBJECTIVE:We sought to report the operative techniques of the endoscopic supracerebellar transtentorial approach (ESTA) to the atrium of the lateral ventricle, especially focusing on the role of the endoscope and analyzing optically related issues. METHODS:A retrospective data review was performed on 5 patients with l...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Xie T,Zhou L,Zhang X,Sun W,Ding H,Liu T,Gu Y,Sun C,Hu F,Zhu W

    更新日期:2017-09-01 00:00:00

  • Time to Event Analysis for the Development of Venous Thromboembolism After Spinal Fusion ≥ 5 Levels.

    abstract:OBJECTIVE:Venous thromboembolism (VTE) is an important complication after spine surgery with an incidence of 31%. To our knowledge, no study has reported a time-dependent examination of factors influencing VTE. We report factors influencing first and multiple VTE events and perform a time-dependent analysis. METHODS:A...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: McClendon J Jr,Smith TR,O'Shaughnessy BA,Sugrue PA,Thompson SE,Koski TR

    更新日期:2015-09-01 00:00:00

  • Third Ventriculocisternostomy for Shunt Failure.

    abstract:BACKGROUND:Our objective was to analyze the relevance, potential prognostic factors, and complications of endoscopic third ventriculostomy (ETV) in patients with shunt failures. METHODS:Among 721 ETVs performed between 1999 and 2013, we studied 53 patients with shunts (31 men, 21 less than 18 years of age) who had an ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Chhun V,Sacko O,Boetto S,Roux FE

    更新日期:2015-06-01 00:00:00

  • A Systematic Review of Prophylactic Antibiotic Use in Endoscopic Endonasal Transsphenoidal Surgery for Pituitary Lesions.

    abstract:BACKGROUND:The benefit of prophylactic antibiotic use in endoscopic endonasal transsphenoidal surgery (EETS) for pituitary lesions is controversial. Many surgeons administer antibiotics perioperatively not based on clear guidelines but to be safe. The purpose of this study was to determine if antibiotic prophylaxis use...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Moldovan ID,Agbi C,Kilty S,Alkherayf F

    更新日期:2019-08-01 00:00:00

  • Modified "Extended" Suboccipital Subtonsillar Clipping of a Ruptured Proximal Pica Aneurysm: Technical Note with Relevant Anatomical Demonstration.

    abstract:BACKGROUND AND IMPORTANCE:Lesions located lateral to the lower brainstem, such as proximal posterior inferior cerebellar artery (PICA) aneurysms, are surgically challenging. We report a case of a patient with a left proximal PICA aneurysm that was successfully clipped via a so-called "extended" suboccipital subtonsilla...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Di Somma A,Cancela Caro P,Blanco MO,Somma T,López-González A,Campero A,Emmerich J,Márquez-Rivas J

    更新日期:2018-09-01 00:00:00

  • Deep brain stimulation for treatment-resistant depression.

    abstract:BACKGROUND:Major depressive disorder is a common and disabling illness and is the leading cause of disability worldwide. Despite aggressive medical, behavioral, and electroconvulsive therapies, a significant number of patients remain refractory to treatment. Deep brain stimulation (DBS) has proven efficacy in neurobeha...

    journal_title:World neurosurgery

    pub_type: 历史文章,杂志文章,评审


    authors: Taghva AS,Malone DA,Rezai AR

    更新日期:2013-09-01 00:00:00

  • Atypical Teratoid/Rhabdoid Tumor After In Vitro Fertilization: Illustrative Case Report and Systematic Literature Review.

    abstract:OBJECTIVE:In vitro fertilization (IVF) is increasingly used for the treatment of infertile couples worldwide. The association between IVF and cancer risk in offspring is conflicting. We present a case of atypical teratoid/rhabdoid tumor (AT/RT) in a girl conceived by IVF and present results of systematic review of lite...

    journal_title:World neurosurgery

    pub_type: 杂志文章,评审


    authors: Bunevicius A,Matukevicius A,Deltuva V,Gudinaviciene I,Pranys D,Tamasauskas A

    更新日期:2018-05-01 00:00:00

  • Surgical Approaches for the Treatment of Multilevel Cervical Ossification of the Posterior Longitudinal Ligament: Results of a Decision Analysis.

    abstract:BACKGROUND:Ossification of the posterior longitudinal ligament (OPLL) often leads to cervical myelopathy. Although multiple procedures have been shown to be effective in the treatment of OPLL, outcomes are less predictable than in degenerative cervical myelopathy, and surgery is associated with high rates of complicati...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Nayak NR,Piazza M,Milby A,Thawani JP,Smith LJ,Stein SC,Malhotra NR

    更新日期:2018-04-01 00:00:00

  • Novel Oral Anticoagulants in Patients Undergoing Cranial Surgery.

    abstract:BACKGROUND:The number of patients treated with novel oral anticoagulants (NOACs) is increasing. Despite growing clinical relevance, guidelines on the perioperative management of neurosurgical patients treated with NOACs are still lacking. The aim of this study was to analyze the occurrence of postoperative bleeding eve...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Croci DM,Kamenova M,Guzman R,Mariani L,Soleman J

    更新日期:2017-09-01 00:00:00

  • Effects of Ho:YAG Laser Ablation on Postoperative Low Back Pain and Functional Status After Transforaminal Endoscopic Lumbar Discectomy: Minimum of 2-Year Follow-Up.

    abstract:OBJECTIVE:To evaluate effects of holmium:yttrium-aluminum-garnet (Ho:YAG) laser ablation on postoperative low back pain and improving functional status in patients with lumbar disc herniation undergoing transforaminal endoscopic lumbar discectomy (TELD). METHODS:The study enrolled 220 patients with lumbar disc herniat...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Li Y,Wang B,Lü G,Li L,Dai Y,Tu Z,Gu H

    更新日期:2019-07-01 00:00:00

  • The Effectiveness of Lumbar Drainage in the Management of Delayed or Recurrent Cerebrospinal Fluid Leaks: A Retrospective Case Series in a Single Center.

    abstract:OBJECTIVE:Little is known about the effectiveness of lumbar drainage (LD) in the treatment of delayed or recurrent cerebrospinal fluid (CSF) leaks. We report our institutional experience and the effectiveness of LD in the management of delayed or recurrent CSF leaks. METHODS:Between January 2014 and December 2018, a t...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Fan S,Chen Y,Cao Y,Liu L,Liu F,Zhang C,Zhou L

    更新日期:2019-09-01 00:00:00

  • Intraoperative Disc Prolapse During Percutaneous Endoscopic Lumbar Discectomy.

    abstract:BACKGROUND:Percutaneous endoscopic lumbar discectomy (PELD) is regarded as an alternative treatment for lumbar disc herniation. Although the indication for PELD has expanded with remarkable evolution of the technique, sometimes unexpected complications have occurred during PELD. We report 3 cases of de novo disc prolap...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Choi KC,Shim HK,Lee DC,Park CK

    更新日期:2019-03-01 00:00:00

  • Pneumomyelia Secondary to Interlaminar Cervical Epidural Injection Causing Acute Cord Injury with Transient Quadriparesis.

    abstract:BACKGROUND:Cervical radiculopathy and cervicalgia are commonly managed with spinal epidural steroid injections in the outpatient setting. Although cervical epidural injections are routinely performed, there is potential for significant complications if proper technique and safety measures are not followed. Spinal cord ...

    journal_title:World neurosurgery



    authors: Nowicki KW,Gale JR,Agarwal V,Monaco EA 3rd

    更新日期:2020-11-01 00:00:00

  • Presurgical Thalamus and Brainstem Shifts Predict Distal Motor Function Recovery After Anatomic Hemispherectomy.

    abstract:BACKGROUND:Anatomic hemispherectomy is an effective surgical treatment for patients with hemispherical intractable epilepsy. Different degrees of brain shifting have been observed, but whether these shifts can predict motor function recovery is unknown. The aim of this study was to analyze the correlation between brain...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Du X,Chen S,Guan Y,Gu J,Zhao M,Li T,Pan J,Luan G

    更新日期:2018-10-01 00:00:00

  • Primary Intracranial Epidermoid Carcinoma with Diffuse Leptomeningeal Carcinomatosis: Report of Two Cases.

    abstract:BACKGROUND:Malignant degeneration of epidermoid cyst (EC) with accompanying leptomeningeal carcinomatosis (LC) at presentation is extremely rare. We add two cases to the literature, including the first case of primary brainstem involvement with simultaneous diffuse LC, and discuss clinical and radiological cues to diff...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Raheja A,Eli IM,Bowers CA,Palmer CA,Couldwell WT

    更新日期:2016-04-01 00:00:00

  • Common Practice in the Management of Dural Closure: An Italian Questionnaire.

    abstract:OBJECTIVE:The optimal management of dural closure is unclear; therefore, we aimed to survey current common practices among Italian practitioners. METHODS:The Delphi method was used to achieve a consensus on dura mater closing techniques in Italy. A steering committee decided 3 major topics to be investigated: pre- and...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: d'Avella E,Fazzolari B,Schiariti M,Delitala A,Ferroli P,Cappabianca P,Servadei F

    更新日期:2019-09-01 00:00:00

  • Rare Presentation: A Report of 2 Identical Cases with Thoracic Compressive Myelopathy in Down Syndrome.

    abstract:BACKGROUND:Atlantoaxial instability, a common finding in patients with Down syndrome (DS), is attributed to laxity of ligamentous structures. Cervical spondylosis identified in these patients has a pathogenesis of ligament laxity and early degeneration compared with the normal population. No cases have been reported sh...

    journal_title:World neurosurgery



    authors: Champaneri H,Banerjee AD

    更新日期:2020-10-01 00:00:00

  • Delayed Brainstem Hemorrhage Secondary to Mild Traumatic Head Injury: Report of Case with Good Recovery.

    abstract:BACKGROUND:In clinical practice, secondary traumatic brainstem hemorrhage often develops during descending transtentorial herniation due to raised intracranial pressure, which is known as Duret hemorrhage. Although usually considered a fatal and irreversible event, in rare circumstances, victims of Duret hemorrhage cou...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Hou K,Zhao J,Gao X,Zhu X,Li G

    更新日期:2017-09-01 00:00:00

  • Favorable Long-Term Outcomes for Positional Vertebral Artery Occlusion with Treatment Strategy Prioritizing Spinal Fusion Surgery.

    abstract:OBJECTIVE:Positional vertebral artery occlusion (PVAO) has a fundamental problem in the definition. We analyzed the long-term outcomes with a redefinition of the rare clinical entities as PVAO for a broader conceptualization, and discuss the efficacy of fusion surgery as a treatment option. METHODS:We analyzed the cli...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Takeshima Y,Nishimura F,Nakagawa I,Motoyama Y,Park YS,Nakase H

    更新日期:2018-06-01 00:00:00

  • Intraparenchymal Meningioma in the Basal Ganglia.

    abstract::We herein report a rare case of intraparenchymal meningioma in the right basal ganglia. The tumor was located incidentally and preoperatively diagnosed as malignant glioma. Preoperative magnetic resonance imaging revealed that the tumor involved the lenticulostriate artery, and open biopsy was performed to avoid posto...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Matsuda R,Shida Y,Nakamura M

    更新日期:2019-08-01 00:00:00

  • Facial Nerve Neurophysiologic Assessment in Vestibular Schwannoma Removal with Transcanal Approach: A Pilot Clinical Study.

    abstract:BACKGROUND:The transcanal transpromontorial approach has been introduced to remove vestibular schwannomas. As with other techniques, preservation of the facial nerve (FN) is challenging. This pilot study described FN outcomes of patients preoperatively and postoperatively assessed with electromyography (EMG) and blink ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Sacchetto L,Fabbris C,Romito S,Bianconi L,Marchioni D

    更新日期:2020-11-12 00:00:00

  • Factors Associated with Treatment Failure and Radiosurgery-Related Edema in WHO Grade 1 and 2 Meningioma Patients Receiving Gamma Knife Radiosurgery.

    abstract:BACKGROUND:Before the advent of radiosurgery, neurosurgical treatment of meningiomas typically involved gross total resection of the mass whenever surgery was deemed possible. Over the past 4 decades, though, Gamma Knife radiosurgery (GKRS) has proved to be an effective, minimally invasive means to control the growth o...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: O'Connor KP,Algan O,Vesely SK,Palejwala AH,Briggs RG,Conner AK,Cornwell BO,Andrews B,Sughrue ME,Glenn CA

    更新日期:2019-10-01 00:00:00

  • Emerging Insight in the Use of an Active Post Discharge Surveillance Program in Spine Surgery: A Retrospective Pilot Study.

    abstract:BACKGROUND:With smartphones being present in everyday life, we have witnessed an increasing use of applications designed for mobile communication devices that are aimed at facilitating patient engagement in different medical arenas. Such applications are meant to improve communications with patients and ultimately impr...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: von Glinski A,Ishak B,Elia CJ,Goodmanson R,Pierre C,Norvell DC,Ansari D,Brune P,Oskouian RJ,Chapman JR

    更新日期:2020-07-01 00:00:00

  • Effects of Lutein on Brain Damage and Vasospasm in an Experimental Subarachnoid Hemorrhage Model.

    abstract:OBJECTIVE:Vasospasm developing after subarachnoid hemorrhage (SAH) is an important cause of mortality and morbidity. Lutein is a carotenoid with antioxidant and anti-inflammatory properties. The aim of present study was to investigate effects of lutein on the basilar artery and nerve tissues. METHODS:Wistar rats were ...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Turk C,Camlar M,Diniz G,Arslan FD,Oren MM,Ozer F

    更新日期:2020-11-01 00:00:00

  • Results of a Single Center's Stenting Procedure for the Treatment of Carotid Stenosis.

    abstract:BACKGROUND:Stenting may be a safer alternative to endarterectomy for treating carotid artery stenosis (CAS), but its long-term efficacy is uncertain. There is a lack of long-term and noncontrolled clinical trial data that reflects "real-world" CAS. This study aimed to analyze the long-term efficacy and safety of our ce...

    journal_title:World neurosurgery

    pub_type: 杂志文章


    authors: Vieira-Leite C,Mosqueira AJ,Arias-Rivas S,Rodríguez-Yáñez M,Pumar JM

    更新日期:2020-01-01 00:00:00