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Updated: Jun 8, 2025
Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
Published on: October 15, 2021
Portable ultrasound-guided Trans-sylvian minimally invasive intracerebral hemorrhage surgery: how I do it
Likui Shen1,2, Anqi Wang2, Ruwei Qin2
1Department of Neurosurgery, The Fourth Affiliated Hospital of Soochow University, Suzhou, 215000, China.
Background:
Intracerebral hemorrhage (ICH) is a common neurosurgical emergency with high morbidity and mortality. The trans-sylvian microsurgical evacuation of ICH in the basal ganglia is a classic but technically challenging approach.
Method:
We describe a novel technique using handheld portable ultrasound to guide trans-sylvian, trans-insular evacuation of basal ganglia hematomas, allowing for rapid identification, precise evacuation, and post-evacuation assessment from a small Sylvian fissure opening.
Conclusion:
Intraoperative portable ultrasonography is a rapid, simple, and inexpensive technique that provides real-time visualization of ICH and key cortical structures, minimizing potential damage during exposure and exploration.
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