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Updated: May 24, 2026

Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Endoscopic management of intracerebral hemorrhage
Pierluigi Longatti1, Luca Basaldella
1Department of Neurosurgery, Treviso Regional Hospital, University of Padova, Treviso, Italy. plongatti@ulss.tv.it
Objectives:
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.
Methods:
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.
Results:
We described the technical details of neuroendoscopic management, highlighting the potential pitfalls and advantages of the techniques.
Conclusion:
Early neuroendoscopic surgery is a feasible approach, allowing, in most instances, rapid clinical and radiological improvement.
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