Published in:
01-02-2019 | Central Nervous System Trauma | Editorial (by Invitation) - Brain trauma
Neuroendoscopy—a minimally invasive alternative in the surgical management of traumatic intracerebral contusions?
Author:
Niklas Marklund
Published in:
Acta Neurochirurgica
|
Issue 2/2019
Login to get access
Excerpt
In the present issue of
Acta Neurochirurgica, Dr. Masaki Mino and co-workers [
8] describe the technical details of neuroendoscopy for the evacuation of traumatic intracerebral contusions causing delayed clinical deterioration. The indications for surgery in the 10 patients were (1) development of new neurological symptoms, (2) deterioration of consciousness level by more than two points on the GCS, or (3) increased intracranial pressure (ICP) ≥ 25 mmHg. The present manuscript is interesting since it brings an additional treatment option to a heterogeneous clinical condition for which consensus has not been reached in the neurosurgical community, particularly with regard to moderate-size lesions as well as optimal strategy for elderly patients. …