Hemorrhagic stroke treated by transcranial neuroendoscopic approach

Abstract Hemorrhagic stroke (HS) is usually treated under microscopy, but recently, an increasing number of cases have been treated under neuroendoscopy. The objective of this study was to explore the feasibility and efficacy of a transcranial neuroendoscopic approach for HS. Based on etiology and c...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Qiang Cai, Zhiyang Li, Wenju Wang, Baowei Ji, Junhui Liu, Zhibiao Chen, Qianxue Chen, Shanping Mao
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/da411010142b49c699e930261fccc9cf
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:da411010142b49c699e930261fccc9cf
record_format	dspace
spelling	oai:doaj.org-article:da411010142b49c699e930261fccc9cf2021-12-02T18:24:53ZHemorrhagic stroke treated by transcranial neuroendoscopic approach10.1038/s41598-021-90927-82045-2322https://doaj.org/article/da411010142b49c699e930261fccc9cf2021-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-90927-8https://doaj.org/toc/2045-2322Abstract Hemorrhagic stroke (HS) is usually treated under microscopy, but recently, an increasing number of cases have been treated under neuroendoscopy. The objective of this study was to explore the feasibility and efficacy of a transcranial neuroendoscopic approach for HS. Based on etiology and clinical features, 203 HS patients were classified into two groups, with 100 patients in the primary HS (PHS) group and 103 patients in the secondary HS (SHS) group. All patients were treated either by full neuroendoscopy (FNE) or by neuroendoscopy combined with microsurgery (ECM). Outcomes were assessed according to the Glasgow Coma Scale (GCS) at discharge, and the rate of good plus excellent results was recorded as the GE rate to assess the treatment effect. All 203 patients underwent surgery successfully, with 165 patients who underwent FNE and 38 patients who underwent ECM. No patients died within 3 days after surgery, and the surgery-related mortality rate was 0%, but a total of 4 patients died by discharge, and the overall mortality rate was 1.97%. A total of 133 patients showed an excellent result and 16 showed a good result, for a total GE rate of 73%. Neuroendoscopy can provide excellent illumination, clear visualization, and multiangle views in HS. The transcranial neuroendoscopic approach is feasible and safe for both PHS and SHS and is very effective for hematoma evacuation. However, some aneurysms and most arteriovenous malformations and arteriovenous fistulas require ECM.Qiang CaiZhiyang LiWenju WangBaowei JiJunhui LiuZhibiao ChenQianxue ChenShanping MaoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Qiang Cai Zhiyang Li Wenju Wang Baowei Ji Junhui Liu Zhibiao Chen Qianxue Chen Shanping Mao Hemorrhagic stroke treated by transcranial neuroendoscopic approach
description	Abstract Hemorrhagic stroke (HS) is usually treated under microscopy, but recently, an increasing number of cases have been treated under neuroendoscopy. The objective of this study was to explore the feasibility and efficacy of a transcranial neuroendoscopic approach for HS. Based on etiology and clinical features, 203 HS patients were classified into two groups, with 100 patients in the primary HS (PHS) group and 103 patients in the secondary HS (SHS) group. All patients were treated either by full neuroendoscopy (FNE) or by neuroendoscopy combined with microsurgery (ECM). Outcomes were assessed according to the Glasgow Coma Scale (GCS) at discharge, and the rate of good plus excellent results was recorded as the GE rate to assess the treatment effect. All 203 patients underwent surgery successfully, with 165 patients who underwent FNE and 38 patients who underwent ECM. No patients died within 3 days after surgery, and the surgery-related mortality rate was 0%, but a total of 4 patients died by discharge, and the overall mortality rate was 1.97%. A total of 133 patients showed an excellent result and 16 showed a good result, for a total GE rate of 73%. Neuroendoscopy can provide excellent illumination, clear visualization, and multiangle views in HS. The transcranial neuroendoscopic approach is feasible and safe for both PHS and SHS and is very effective for hematoma evacuation. However, some aneurysms and most arteriovenous malformations and arteriovenous fistulas require ECM.
format	article
author	Qiang Cai Zhiyang Li Wenju Wang Baowei Ji Junhui Liu Zhibiao Chen Qianxue Chen Shanping Mao
author_facet	Qiang Cai Zhiyang Li Wenju Wang Baowei Ji Junhui Liu Zhibiao Chen Qianxue Chen Shanping Mao
author_sort	Qiang Cai
title	Hemorrhagic stroke treated by transcranial neuroendoscopic approach
title_short	Hemorrhagic stroke treated by transcranial neuroendoscopic approach
title_full	Hemorrhagic stroke treated by transcranial neuroendoscopic approach
title_fullStr	Hemorrhagic stroke treated by transcranial neuroendoscopic approach
title_full_unstemmed	Hemorrhagic stroke treated by transcranial neuroendoscopic approach
title_sort	hemorrhagic stroke treated by transcranial neuroendoscopic approach
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/da411010142b49c699e930261fccc9cf
work_keys_str_mv	AT qiangcai hemorrhagicstroketreatedbytranscranialneuroendoscopicapproach AT zhiyangli hemorrhagicstroketreatedbytranscranialneuroendoscopicapproach AT wenjuwang hemorrhagicstroketreatedbytranscranialneuroendoscopicapproach AT baoweiji hemorrhagicstroketreatedbytranscranialneuroendoscopicapproach AT junhuiliu hemorrhagicstroketreatedbytranscranialneuroendoscopicapproach AT zhibiaochen hemorrhagicstroketreatedbytranscranialneuroendoscopicapproach AT qianxuechen hemorrhagicstroketreatedbytranscranialneuroendoscopicapproach AT shanpingmao hemorrhagicstroketreatedbytranscranialneuroendoscopicapproach
_version_	1718378128305291264

Hemorrhagic stroke treated by transcranial neuroendoscopic approach

Ejemplares similares