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Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
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Chronic encapsulated intracerebral hematomas: a systematic review
Gianluca Scalia1, Giuseppe Emmanuele Umana2, Antonio Crea2,3
1Neurosurgery Unit, Highly Specialized Hospital and of National Importance "Garibaldi", Catania, Italy.
British Journal of Neurosurgery
|January 10, 2022
Summary
This review highlights chronic encapsulated intracerebral hematoma (CEICH), a rare brain lesion. Surgery, particularly craniotomy, is recommended for CEICH management, though endoscopic approaches warrant further study.
Area of Science:
- Neurosurgery
- Neurology
- Radiology
Background:
- Chronic encapsulated intracerebral hematoma (CEICH) presents as a rare, slow-growing lesion causing mass effect.
- This study systematically reviews the diagnosis and management of CEICH.
Approach:
- A systematic literature review was conducted using PubMed and Scopus databases.
- Included 40 papers detailing 58 CEICH patient cases, excluding intraventricular or conservatively treated cases.
Key Points:
- Common symptoms include increased intracranial pressure (48.2%), seizures (29.3%), and motor deficits (24.1%).
- Atypical localization (77.6%) and arteriovenous malformation as a frequent cause were noted.
- Craniotomy (53.4%) was the predominant surgical approach.
Conclusions:
- Surgery is advised for CEICH, with craniotomy being the most common method.
- Further research into endoscopic approaches for CEICH is recommended for potential favorable outcomes.
