Endoscopic Management of Intracerebral Hemorrhage

Objectives: Massive intracerebral and intraventricular hemorrhages require aggressive and rapid management to decrease intracranial hypertension. The amount of intraventricular blood is a strong prognostic predictor, and its fast removal is a priority. Neuroendoscopy may offer some advantages over more traditional surgical approaches. Methods: All relevant data described in our experience and in publications about minimally invasive treatment of intraventricular and intracerebral hemorrhage found through MEDLINE searches and related references are reviewed. Results: We described the technical details of neuroendoscopic management, highlighting the potential pitfalls and advantages of the techniques. Conclusion: Early neuroendoscopic surgery is a feasible approach, allowing, in most instances, rapid clinical and radiological improvement. © 2013 Elsevier Inc. All rights reserved.