Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (2): 44-48.doi: 10.6040/j.issn.1671-7554.0.2019.1334

Previous Articles     Next Articles

Safety and efficacy of neuronavigation-guided minimally invasive aspiration for 17 patients of supratentorial intracerebral hemorrhage with hernia

ZHANG Chunyun, HE Wei, JIANG Bin, WEI Zhaosheng, WANG Zhigang   

  1. Department of Neurosurgery, Qilu Hospital of Shandong University(Qingdao), Qingdao 266035, Shandong, China
  • Online:2020-02-10 Published:2022-09-27

PDF (PC)

8

Abstract: Objective To evaluate the safety and efficacy of neuronavigation-guided aspiration for large supratentorial intracerebral hemorrhage complicated with hernia. Methods A total of 33 patients with supratentorial intracerebral hemorrhage treated during Jul. 2017 and Dec. 2018 were divided into 2 groups: neuronavigation-guided minimally surgery group(n=17)and craniotomy group(n=16). The operation time, evacuation rate and postoperative complications were compared. The preoperative and postoperative 1d neurological status were evaluated with Glasgow Coma Scale(GCS). The neurological recovery was evaluated with modified Rankin Scale(mRS). Results There were no significant difference in baseline parameters between the 2 groups. The neuronavigation-guided group had significantly shorter operation time but higher evacuation rate than the craniotomy group(P<0.01). There was no difference in postoperative 1d GCS(P=0.29). The mRS score was significantly improved in neuronavigation-guided group 6 months after surgery(P=0.026). There was no significant differences in the incidence of complications such as rehemorrhage and hydrocephalus. Conclusion Neuronavigation-guided minimally invasive aspiration is simple, safe and effective in the treatment of supratentorial intracerebral hemorrhage with hernia. It can facilitate recovery of neurological function and improve patients prognosis.

Key words: Supratentorial intracerebral hemorrhage, Hernia, Minimally invasive surgery, Neuronavigation, Prognosis

CLC Number: 

  • R743.34
[1] Heros RC. Cerebellar hemorrhage and infarction [J]. Stroke, 1982, 13(1): 106-109.
[2] Arnone GD, Esfahani DR, Wonais M, et al. Surgery for cerebellar hemorrhage: a national surgical quality Improvement program database analysis of patient outcomes and factors associated with 30-day mortality and prolonged entilation [J]. World Neurosurg, 2017, 106543-106550.
[3] Broderick J, Connolly S, Feldmann E, et al. Guidelines for the management of spontaneous intracerebral hemorrhage in adults: 2007 update: a guideline from the American Heart Association/American Stroke Association Stroke Council, High Blood Pressure Research Council, and the Quality of Care and Outcomes in Research Interdisciplinary Working Group [J]. Stroke, 2007, 38(6): 2001-2023.
[4] Chartrain AG, Kellner CP, Fargen KM, et al. A review and comparison of three neuronavigation systems for minimally invasive intracerebral hemorrhage evacuation [J]. J Neurointerv Surg, 2018, 10(1): 66-74.
[5] Batjer HH, Reisch JS, Allen BC, et al. Failure of surgery to improve outcome in hypertensive putaminal hemorrhage. a prospective randomized trial [J]. Arch Neurol, 1990, 47(10):1103-1106.
[6] Juvela S, Heiskanen O, Poranen A,et al. The treatment of spontaneous intracerebral hemorrhage. a prospective randomized trial of surgical and conservative treatment [J]. J Neurosurg, 1989, 70(5):755-758.
[7] Mendelow AD, Gregson BA, Fernandes HM, et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial intracerebral haematomas in the International Surgical Trial in Intracerebral Haemorrhage(STICH): a randomised trial [J]. Lancet, 2005, 365(9457): 387-397.
[8] Mendelow AD, Gregson BA, Rowan EN, et al. Early surgery versus initial conservative treatment in patients with spontaneous supratentorial lobar intracerebral haematomas(STICH II): a randomised trial [J]. Lancet, 2013, 382(9890): 397-408.
[9] Hadjiathanasiou A, Schuss P, Ilic I, et al. Decompressive craniectomy for intracerebral haematoma: the influence of additional haematoma evacuation [J]. Neurosurg Rev, 2018,41(2):649-654.
[10] Bhatia K, Hepburn M, Ziu E, et al. Modern approaches to evacuating intracerebral hemorrhage [J]. Curr Cardiol Rep, 2018, 20(12): 132. doi: 10.1007/s11886-018-1078-4.
[11] Fu C, Wang N, Chen B, et al. Surgical management of moderate basal ganglia intracerebral hemorrhage: comparison of safety and efficacy of endoscopic surgery,minimally invasive puncture and drainage, and craniotomy [J]. World Neurosurg, 2019, 122:e995-e1001. doi: 10.1016/j.wneu.2018.10.192.
[12] Hersh EH, Gologorsky Y, Chartrain AG, et al. Minimally invasive surgery for intracerebral hemorrhage [J]. Curr Neurol Neurosci Rep, 2018, 18(6): 34.
[13] Choo YS, Chung J, Joo JY, et al. Borderline basal ganglia hemorrhage volume: patient selection for good clinical outcome after stereotactic catheter drainage [J]. J Neurosurg, 2016, 125(5): 1242-1248.
[14] Prasad K, Mendelow AD, Gregson B. Surgery for primary supratentorial intracerebral haemorrhage[J]. Cochrane Database Syst Rev, 2008, 4: Cd000200. doi: 10.1002/14651858.CD000200.
[15] Awad IA, Polster SP, Carrion-Penagos J, et al. Surgical performance determines functional outcome benefit in the minimally invasive surgery plus recombinant tissue plasminogen activator for intracerebral hemorrhage evacuation(MISTIE)procedure [J]. Neurosurgery, 2019, 84(6): 1157-1168.
[16] Li Y, Yang R, Li Z, et al. Surgical evacuation of spontaneous supratentorial lobar intracerebral hemorrhage: comparison of safety and efficacy of stereotactic aspiration, endoscopic surgery, and craniotomy [J]. World Neurosurgery, 2017, 105:332-340. doi: 10.1016/j.wneu. 2017.05.134.
[17] 陈俊瑜, 胡飞, 岑波, 等. 神经导航引导下硬通道多靶点穿刺引流治疗高血压脑出血48例疗效分析[J]. 华中科技大学学报(医学版), 2017, 46(1):72-75. CHEN Junyu, HU Fei, CEN Bo, et al. Clinical analysis of treatment of 48 cases with hypertensive cerebral hemorrhage by hypertensive cerebral hemorrhage by flinty channel multi-target puncture and drainage guided by neural navigation [J]. Acta Medicinae Universitatis Scientiae et Technologiae Huazhong, 2017, 46(1):72-75.
[18] Ge C, Zhao W, Guo H, et al. Comparison of the clinical efficacy of craniotomy and craniopuncture therapy for the early stage of moderate volume spontaneous intracerebral haemorrhage in basal ganglia: using the CTA spot sign as an entry criterion [J]. Clin Neurol Neurosurg, 2018, 169:41-48. doi: 10.1016/j.clineuro.2018.04.002.
[19] Eroglu U, Kahilogullari G, Dogan I, et al. Surgical management of supratentorial intracerebral hemorrhages: endoscopic versus open surgery [J]. World Neurosurgery, 2018, 114e60-e65. doi: 10.1016/j.wneu.2018.02.056.
[20] Wang T, Guan Y, Du J, et al. Factors affecting the evacuation rate of intracerebral hemorrhage in basal ganglia treated by minimally invasive craniopuncture [J]. Clin Neurol Neurosurg, 2015, 134:104-109. doi: 10.1016/j.clineuro.2015.04.020.
[21] Algattas H, Kimmell KT, Vates GE. Risk of reoperation for hemorrhage in patients after craniotomy [J]. World Neurosurgery, 2016, 87:531-539. doi:10.1016/j.wneu.2015.09.020.
[22] Winkler EA, Minter D, Yue JK, et al. Cerebral edema in traumatic brain injury: pathophysiology and prospective therapeutic targets[J]. Neurosurgery Clinics of North America, 2016, 27(4): 473-488.
[23] Bareyre F, Wahl F, McIntosh TK, et al. Time course of cerebral edema after traumatic brain injury in rats: effects of riluzole and mannitol [J]. Journal of Neurotrauma, 1997, 14(11): 839-849.
[24] Kuo LT, Chen CM, Li CH, et al. Early endoscope-assisted hematoma evacuation in patients with supratentorial intracerebral hemorrhage: case selection, surgical technique, and long-term results [J]. Neurosurg Focus, 2011, 30(4): E9. doi:10.3171/2011.2.FOCUS10313.
[25] Liu LJ, Xue ZC, Yang GQ, et al. Optimal time window for minimally invasive aspiration and drainage of the hematoma in patients with intracerebral hemorrhage [J]. Zhongguo Wei Zhong Bing Ji Jiu Yi Xue, 2004, 16(9): 544-546.
[1] ZHENG Su, CHEN Shuhua, LI Hua, DENG Jie, CHEN Chunhong, WANG Xiaohui, FENG Weixing, HAN Xiaodi, ZHANG Yujia, LI Na, LI Mo, FANG Fang. Correlation between EEG variations and BASED evaluation of the efficacy of ACTH treatment in 54 cases of infantile spasms [J]. Journal of Shandong University (Health Sciences), 2022, 60(9): 91-96.
[2] WANG Lihui, GAO Min, KONG Beihua. Angiosarcoma of the uterus: a report of 2 cases and literature review [J]. Journal of Shandong University (Health Sciences), 2022, 60(9): 108-112.
[3] HE Shiqing, LI Wanwan, DONG Shuqing, MOU Jingyi, LIU Yuying, WEI Siyu, LIU Zhao, ZHANG Jiaxin. Construction of a prognostic risk model of pyroptosis-related genes in breast cancer based on database [J]. Journal of Shandong University (Health Sciences), 2022, 60(8): 34-43.
[4] ZHANG Yufeng, XU Min, XING Xiuli, PANG Shuguang, HU Keqing. Epidemiological characteristics of 689 patients with non-ST-segment elevation myocardial infarction [J]. Journal of Shandong University (Health Sciences), 2022, 60(7): 118-122.
[5] LI Linlin, WANG Kai. Prediction of hepatocellular carcinoma prognostic genes based on bioinformatics [J]. Journal of Shandong University (Health Sciences), 2022, 60(5): 50-58.
[6] ZHANG Jingliang, LIU Xinyu, YUAN Suomao, WANG Lianlei. Causes of misdiagnosis and mistreatment of lumbar degenerative diseases complicated with hip joint diseases(hip-spine syndrome) [J]. Journal of Shandong University (Health Sciences), 2022, 60(5): 67-73.
[7] CHEN Zhongshao, CHU Ran, LI Mingbao, ZHANG Xiangning. MRKH syndrome-related abdominal scar endometriosis after inguinal uterine hernia repair: a case report and literature review [J]. Journal of Shandong University (Health Sciences), 2022, 60(5): 114-117.
[8] LI Mingbo, HUANG Yanbo, REN Dongcheng, LIU Juncheng, TAN Chengshuang, XU Jixi, DING Jinyong. Afinite element analysis of three different fusion methods of lumbar internal fixation [J]. Journal of Shandong University (Health Sciences), 2022, 60(1): 55-64.
[9] CHU Yan, LIU Duanrui, ZHU Wenshuai, FAN Rong, MA Xiaoli, WANG Yunshan, JIA Yanfei. Expressions of DNA methyltransferases in gastric cancer and their clinical significance [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 1-9.
[10] CHEN Liyu, XIAO Juan, LYU Xianzhong, DUAN Baomin, HONG Fanzhen. Risk factors influencing prognosis of lower extremity deep vein thrombosis in pregnant and parturient women [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 38-42.
[11] TIAN Yaotian, WANG Bao, LI Yeqin, WANG Teng, TIAN Liwen, HAN Bo, WANG Cuiyan. Machine learning models based on interpretive CMR parameters can predict the prognosis of pediatric myocarditis [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 43-49.
[12] LI Wanwan, ZHOU Wenkai, DONG Shuqing, HE Shiqing, LIU Zhao, ZHANG Jiaxin, LIU Bin. Construct of a risk assessment model of breast cancer immune-related lncRNAs based on the database information [J]. Journal of Shandong University (Health Sciences), 2021, 59(7): 74-84.
[13] MI Qi, SHI Shuang, LI Juan, LI Peilong, DU Lutao, WANG Chuanxin. Construction of circRNA-mediated ceRNA network and prognostic assessment model for bladder cancer [J]. Journal of Shandong University (Health Sciences), 2021, 59(6): 94-102.
[14] LI Xiangqing, YIN Xin, ZHAO Xuelian, ZHAO Peiqing. Expression and clinical significance of circulating CD56bright subset of NK cells in patients with Parkinsons disease [J]. Journal of Shandong University (Health Sciences), 2021, 59(2): 34-40.
[15] ZENG Rui, HU Xinting, YUN Xiaoya, TIAN Zheng, LI Qing, LIU Jie, ZHANG Ya, WANG Xin. Fluorescence in situ hybridization in the diagnosis of 197 cases of chronic lymphocytic leukemia [J]. Journal of Shandong University (Health Sciences), 2021, 59(11): 35-40.
Viewed
Full text


Abstract

Cited
  Shared   
  Discussed   
No Suggested Reading articles found!
Copyright 2018 © Editorial office of Journal of Shandong University (Health Sciences)
Supported by Beijing Magtech Co.Ltd