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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
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Endoscopic diving technique for surgery of brain abscess
Yota Suzuki1, Toshihiro Ogiwara1, Satoshi Kitamura1
1Department of Neurosurgery, Shinshu University School of Medicine, Matsumoto, Japan.
British Journal of Neurosurgery
|October 7, 2021
Summary
Endoscopic diving technique (EDT) offers clear visibility for minimally invasive brain abscess treatment. This case report highlights EDT
Area of Science:
- Neurosurgery
- Minimally Invasive Surgery
- Endoscopic Techniques
Background:
- Neuroendoscopic surgery advances enable minimally invasive brain abscess treatment.
- Endoscopic diving technique (EDT) uses fluid lenses for enhanced endoscope visibility.
- EDT has shown utility in endoscopic endonasal approaches for cranial base lesions.
Observation:
- A 29-year-old male with 11q trisomy syndrome presented with fever and hemiparesis.
- Neuroradiological imaging confirmed a brain abscess.
- Endoscopic irrigation and drainage using EDT were performed via a transparent endoscopic sheath.
Findings:
- EDT provided a clear operative field and facilitated effective irrigation.
- No bacterial contamination occurred during the procedure.
- Streptococcus intermedius was identified via PCR, and antibiotic therapy was initiated.
- The patient showed gradual postoperative symptom improvement.
Implications:
- This is the first technical case report on EDT for brain abscess surgery.
- EDT shows potential as a valuable technique in cylinder surgery for brain abscesses.
- EDT may extend its utility beyond endoscopic endonasal approaches.

