Stereotactic Vacuum-Assisted Minimally Invasive Aspiration of Hemorrhagic Stroke

Gyusik Park; Tijil Agarwal; Arthur Wang; Ninh Doan

doi:10.7759/cureus.23706

Stereotactic Vacuum-Assisted Minimally Invasive Aspiration of Hemorrhagic Stroke

Cureus. 2022 Mar 31;14(3):e23706. doi: 10.7759/cureus.23706. eCollection 2022 Mar.

Authors

Gyusik Park¹, Tijil Agarwal², Arthur Wang³, Ninh Doan⁴

Affiliations

¹ Neurology, University of Alabama at Birmingham School of Medicine, Birmingham, USA.
² Neurology, Baptist Medical Center South, Montgomery, USA.
³ Neurosurgery, Tulane University School of Medicine, New Orleans, USA.
⁴ Neurosurgery, Baptist Medical Center South, Montgomery, USA.

Abstract

Intracerebral hemorrhage (ICH), accounting for 9-27% of all strokes, carries substantial rates of morbidity and mortality that have not shown much improvement in the past decades. The poor outcomes of ICH can be attributed to the primary and secondary brain injuries caused by mass effects and inflammatory mechanisms, respectively. Early ICH evacuation is a critical component of treatment, as it mitigates the effect of both the primary and secondary mechanisms of brain injury and is associated with significant improvement in patient outcomes. However, no standardized evacuation technique exists. This technical report introduces a novel stereotactic vacuum-assisted minimally invasive (MIS) aspiration of a hemorrhagic stroke with its effectiveness evidenced by excellent patient recovery.

Keywords: brain injury; hematoma evacuation; hemorrhagic stroke; intracerebral hemorrhage; intraparenchymal hemorrhage; minimally invasive surgery; stroke.