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Updated: Jun 7, 2026
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
[The result of conventional craniotomy and hematoma evacuation in striatocapsular hemorrhage]
Ken Kazumata1, Yuka Yokoyama, Katsuyuki Asaoka
1Department of Neurosurgery, Teine Keijinkai Hospital, Sapporo, Japan.
Insights
Conventional craniotomy for striatocapsular hemorrhage evacuation showed superior outcomes compared to previous studies. This surgical approach offers improved results for patients with this type of brain bleed.
Area of Science:
- Neurosurgery
- Neurology
- Critical Care Medicine
Context:
- Striatocapsular hemorrhage is a severe type of intracerebral hemorrhage.
- Surgical intervention for deep-seated hemorrhages remains a challenge.
- Conventional craniotomy is a traditional neurosurgical approach.
Purpose:
- To evaluate the efficacy of conventional craniotomy for evacuating striatocapsular hemorrhage.
- To report the surgical procedure and its outcomes.
- To compare the results with existing literature.
Summary:
- A cohort of 75 patients with striatocapsular hemorrhage was analyzed, with 31 undergoing surgery via conventional craniotomy.
- The average hematoma volume in surgically treated patients was 95.2 mL.
- The 6-month mortality rate was 16%, with favorable outcomes reported using various neurological scales.
Impact:
- This study suggests that conventional craniotomy can yield favorable outcomes for striatocapsular hemorrhage.
- The findings indicate a potential improvement over historical results.
- The study highlights operative nuances for this specific surgical procedure.
Objective:
The aim of our study is to report the outcome of our surgical procedure of conventional craniotomy for the evacuation of striatocapsular hemorrhage.
Patients And Methods:
During 2004 to 2008, 75 patients were admitted to our hospital because of striatocapsular hemorrhage. We assigned thirty one (41%) of the 75 patients to surgery. We employed prognosis-based outcome analysis.
Results:
The average volume of hematoma in surgically treated cases was 95.2 ± 52.5 (30- 223.8) mL. Mortality rate was 16% at 6 months after the onset. In the total population, a favorable outcome was achieved in 65% assessed by using the Glasogow Outcome Scale, 37.3% by using a modified Rankin Scale and 38.7% by using the Barthel index, respectively.
Conclusion:
Our observational study indicated that the outcome through conventional craniotomy and evacuation of hematoma was superior to the outcome of typical previous studies. We also illustrated our surgical procedure to emphasize operative nuances.
