Abstract
Spontaneous primary intracerebral hemorrhage is a significant cause of morbidity and mortality worldwide. Efforts over the last few decades have been put forth to develop safer and more effective techniques for surgical evacuation of these hematomas in an effort to improve functional outcomes for these patients. One such approach is the trans-sulcal, channel-based parafascicular approach to intracerebral hemorrhages. The approach aims to gain and maintain access to and visibility of deep, subcortical lesions while simultaneously minimizing disruption of normal cortical tissue and subcortical white matter tracts. The effectiveness of the approach is enhanced by many recent technological advancements, including diffusion tensor imaging of white matter tracts for preoperative planning and intraoperative neuronavigation, navigated tubular retractor systems, mechanical aspiration-debridement devices, and 3D exoscopes for visibility. In this chapter, we describe the tools and techniques employed at our institution for evacuation of subcortical spontaneous intracerebral hemorrhages.
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Rindler, R.S., Pradilla, G. (2022). Trans-sulcal, Channel-Based Parafascicular Surgery for Intracerebral Hematoma. In: Zada, G., Pradilla, G., Day, J.D. (eds) Subcortical Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-030-95153-5_15
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DOI: https://doi.org/10.1007/978-3-030-95153-5_15
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