Publication details

Stereotactic evacuation of infratentorial hematomas by transtentorial approach with monitoring of intracerebral pressure



Year of publication 2003
Type Article in Proceedings
Conference Neurosurgery 2003 : Resumos/Posters
MU Faculty or unit

Faculty of Medicine

Keywords Stereotactic evacuation; infratentorial hematomas;transtentorial approach with monitoring
Description Based on our experience with stereotactic evacuation of spontaneous supratentorial hematomas we have used this method also for evacuation of spontaneous infratentorial hematoma by the transtentorial approach. We have also analysed dynamic changes of the intracranial pressure (ICP) before and after stereotactic evacuation by the transtentorial approach with recording of the intraparenchymal ICP and pressure in hematoma. We have also analysed the amplitude and form of the ICP note. The authors present a series of 14 patients with spontaneous intracerebral hematomas evacuated by the frame-based stereotactic technique, in 4 patients we have measured intracranial pressure (ICP) during stereotactic evacuation. The stereotactic evacuation of spontaneous infratentorial hematomas as a minimally invasive method reduces risk of complications related to craniotomy and also reduces strain of a patient, most interventions are performed in local anaesthesia. The measuring of the ICP and the analysis of dynamic changes during stereotactic evacuation suggest that this procedure can significantly reduce the ICP caused by ICH and we believe that our results can improve management of patients with spontaneous infratentorial intracerebral hematoma.

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