Frontiers in Surgery (Dec 2023)

An endoscopic-assisted contralateral paramedian supracerebellar infratentorial approach in the treatment of thalamic hemorrhage with hematoma extension into the brainstem: a case report

  • Eryi Sun,
  • Siyuan Lu,
  • Bo Chen,
  • Qi Wu

DOI
https://doi.org/10.3389/fsurg.2023.1277990
Journal volume & issue
Vol. 10

Abstract

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ObjectiveThalamic hemorrhage (TH) with hematoma extension into the brainstem can lead to poor outcomes. In this study, we discuss the feasibility of the endoscopic-assisted contralateral paramedian supracerebellar infratentorial (SCIT) approach as a therapeutic method for treating such patients.Case presentationA patient suffered from a sudden loss of consciousness and right limb weakness, and a CT scan indicated TH with hematoma extension into the brainstem. She consented to undergo surgery by the endoscopic-assisted contralateral paramedian SCIT approach.ResultsNow, the patient can open her eyes on her own and move her left arm in response to commands.ConclusionThe endoscopic-assisted contralateral paramedian SCIT approach may be a viable therapeutic method for treating TH patients with hematoma extension into the brainstem.

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