Three-dimensional reconstructed CT scanning for targeting hypertensive putaminal hemorrhage

Area of Science:

• Neurosurgery
• Radiology
• Medical Imaging

Background:

• Hypertensive putaminal hemorrhage (HPH) is a severe neurological condition.
• Effective surgical targeting is crucial for successful treatment of HPH.
• Minimally invasive techniques are sought to improve patient outcomes.

Purpose of the Study:

• To develop and evaluate an accurate frontal targeting method for neuroendoscopic treatment of HPH.
• To assess the safety and efficacy of the described targeting technique.
• To determine the feasibility of using 3D reconstructed CT for surgical planning.

Main Methods:

• Development of a frontal targeting method using 3D reconstructed CT scans.
• Neuroendoscopic treatment of five HPH patients via frontal trephination.
• Independent neuroradiological analysis of CT images for trajectory planning.
• Measurement of entry point, depth, and trajectory based on orbitomental lines.

Main Results:

• All five patients regained consciousness post-operatively without complications.
• Accurate surgical trajectory was achieved in all cases.
• Average hematoma evacuation rate was 84%.

Conclusions:

• The 3D reconstructed CT-based frontal targeting method is accurate and effective for HPH.
• This technique offers a minimally invasive, time-saving approach for neuroendoscopic HPH treatment.
• The method eliminates the need for additional CT scans for surgical planning.