Neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation: a retrospective study of comparison with craniotomy
BackgroundHypertensive intracerebral hemorrhage combined with cerebral hernia (HIH-CH) is a serious condition. Neuroendoscopy can effectively remove intracranial hematoma, but there is no relevant research support for its utility in patients with HIH-CH. The purpose of this study is to investigate t...
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| Format: | Article |
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Frontiers Media S.A.
2023-09-01
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| Series: | Frontiers in Neurology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2023.1238283/full |
| _version_ | 1797262520243716096 |
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| author | Yuan Zhan Xiaojun Zou Jiebin Wu Liang Fu Wei Huang Junming Lin Fei Luo Wenhao Wang |
| author_facet | Yuan Zhan Xiaojun Zou Jiebin Wu Liang Fu Wei Huang Junming Lin Fei Luo Wenhao Wang |
| author_sort | Yuan Zhan |
| collection | DOAJ |
| description | BackgroundHypertensive intracerebral hemorrhage combined with cerebral hernia (HIH-CH) is a serious condition. Neuroendoscopy can effectively remove intracranial hematoma, but there is no relevant research support for its utility in patients with HIH-CH. The purpose of this study is to investigate the efficacy and safety of neuroendoscopy in patients with HIH-CH.MethodsPatients with HIH-CH who received craniotomy or neuroendoscopy treatment were included. The patients were divided into craniotomy (CHE) group and neuroendoscopy (NEHE) group. Clinical data and follow-up outcome of the two groups were collected. The primary outcome was hematoma clearance.ResultsThe hematoma clearance rate (%) of patients in NEHE group was 97.65 (92.75, 100.00), and that of patients in CHE group was 95.00 (90.00, 100.00), p > 0.05. The operation time and intraoperative bleeding volume of patients in NEHE group were significantly less than those in CHE group (p < 0.05). There was no significant difference in the volume of residual hematoma and the incidence of rebleeding between the two groups (p > 0.05). The length of stay in ICU in NEHE group was significantly shorter than that in CHE group (p < 0.05).ConclusionNeuroendoscopy can safely and effectively remove the intracranial hematoma in patients with hypertensive intracerebral hemorrhage and cerebral hernia, significantly shorten the operation time, reduce the amount of intraoperative hemorrhage, shorten the ICU stay. |
| first_indexed | 2024-04-24T23:58:25Z |
| format | Article |
| id | doaj.art-7f1ba626d1484f478996ce718ea00702 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-24T23:58:25Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-7f1ba626d1484f478996ce718ea007022024-03-14T10:51:09ZengFrontiers Media S.A.Frontiers in Neurology1664-22952023-09-011410.3389/fneur.2023.12382831238283Neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation: a retrospective study of comparison with craniotomyYuan ZhanXiaojun ZouJiebin WuLiang FuWei HuangJunming LinFei LuoWenhao WangBackgroundHypertensive intracerebral hemorrhage combined with cerebral hernia (HIH-CH) is a serious condition. Neuroendoscopy can effectively remove intracranial hematoma, but there is no relevant research support for its utility in patients with HIH-CH. The purpose of this study is to investigate the efficacy and safety of neuroendoscopy in patients with HIH-CH.MethodsPatients with HIH-CH who received craniotomy or neuroendoscopy treatment were included. The patients were divided into craniotomy (CHE) group and neuroendoscopy (NEHE) group. Clinical data and follow-up outcome of the two groups were collected. The primary outcome was hematoma clearance.ResultsThe hematoma clearance rate (%) of patients in NEHE group was 97.65 (92.75, 100.00), and that of patients in CHE group was 95.00 (90.00, 100.00), p > 0.05. The operation time and intraoperative bleeding volume of patients in NEHE group were significantly less than those in CHE group (p < 0.05). There was no significant difference in the volume of residual hematoma and the incidence of rebleeding between the two groups (p > 0.05). The length of stay in ICU in NEHE group was significantly shorter than that in CHE group (p < 0.05).ConclusionNeuroendoscopy can safely and effectively remove the intracranial hematoma in patients with hypertensive intracerebral hemorrhage and cerebral hernia, significantly shorten the operation time, reduce the amount of intraoperative hemorrhage, shorten the ICU stay.https://www.frontiersin.org/articles/10.3389/fneur.2023.1238283/fullhypertensioncerebral hemorrhagebrain herniacraniotomyneuroendoscopy hypertensionneuroendoscopy |
| spellingShingle | Yuan Zhan Xiaojun Zou Jiebin Wu Liang Fu Wei Huang Junming Lin Fei Luo Wenhao Wang Neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation: a retrospective study of comparison with craniotomy Frontiers in Neurology hypertension cerebral hemorrhage brain hernia craniotomy neuroendoscopy hypertension neuroendoscopy |
| title | Neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation: a retrospective study of comparison with craniotomy |
| title_full | Neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation: a retrospective study of comparison with craniotomy |
| title_fullStr | Neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation: a retrospective study of comparison with craniotomy |
| title_full_unstemmed | Neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation: a retrospective study of comparison with craniotomy |
| title_short | Neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation: a retrospective study of comparison with craniotomy |
| title_sort | neuroendoscopy surgery for hypertensive intracerebral hemorrhage with concurrent brain herniation a retrospective study of comparison with craniotomy |
| topic | hypertension cerebral hemorrhage brain hernia craniotomy neuroendoscopy hypertension neuroendoscopy |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2023.1238283/full |
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