[The transcortical frontal approach in putaminal hypertensive intracerebral haematomas]

Spontaneous putaminal intracerebral haematomas (ICH) related to arterial hypertony are a relatively often type of pathology in the CNS. Classically such haematomas are operated through a transsylvian or temporal approach. With the development of minimally invasive neurosurgery and neuroendoscopy literature data appears describing an alternative path of evacuation through the frontal lobe without a determination of a separate approach. We describe our experience using a transcortical frontal approach in hypertensive spontaneous putaminal ICH.

Eleven patients with spontaneous putaminal ICH due to arterial hypertony underwent a transcortical frontal evacuation for the period of 01.2007 - 06.2008. We achieved a sufficient level of evacuation of the haematoma and reduction of the intracerebral "mass effect".

The transcortical frontal approach can be used successfully in hypertensive spontaneous putaminal ICH, especially when located close to the anterior limb of the internal capsule and compressing the frontal horn of the lateral ventricle.