ArticleNeurosurgical review2021
Use of flexible endoscopic aspiration for an intraventricular small floating clot with hemorrhage: a technical note.
Article in Neurosurgical review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 5 citations in OpenAlex.
- How I do it: endoscopic evacuation of intraventricular lesions using a flexible endoscope in combination with an angiographic catheter.Acta neurochirurgica · 2024Article
- The long-term effect on functional outcome of endoscopic brainwashing for intraventricular hemorrhage compared to external ventricular drainage alone: A retrospective single-center cohort study.Surgical neurology international · 2024Article
- Transient obstruction of aqueduct of sylvius: rare case of spontaneously resolving acute hydrocephalus.Acta neurologica Belgica · 2023Article
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough flexible endoscopy is effective for intraventricular lesions, it is less frequently used for hemorrhagic cases. In some hemorrhagic strokes, blood clots may plunge into the cerebral aqueduct and cause acute obstructive hydrocephalus. A flexible endoscope can aspirate clots and prevent acute hydrocephalus.
methodsHere, we report four cases of hemorrhage: one of intracerebral hemorrhage and three of subarachnoid hemorrhages.
resultsIn all cases, acute hydrocephalus was not apparent upon admission. Sudden comatose occurred; computed tomography revealed acute obstructive hydrocephalus with a strangulated clot in the cerebral aqueduct. We performed aspiration of the strangulated clot using a flexible endoscope. Consciousness improved in all cases, and acute hydrocephalus was prevented in all cases.
conclusionThe use of simple flexible endoscopic aspiration for clots might be a beneficial and less-invasive procedure for acute obstructive hydrocephalus caused by a small clot with hemorrhagic stroke.
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