TITLE:
Clinical and CT Outcomes of Endoscopic Evacuation of Intracerebral Hematoma
AUTHORS:
Ahmed Hosameldin, Mohammed Diaa, Hassan Elshafiey, Mohammed Hussein M. Aly
KEYWORDS:
Intracerebral Hematoma, Endoscopic Evacuation, Glasgow Outcome Score
JOURNAL NAME:
Open Journal of Modern Neurosurgery,
Vol.16 No.1,
December
3,
2025
ABSTRACT: Background: Minimally invasive endoscopic hematoma evacuation is a promising management option for intracerebral hemorrhage. However, the technique still needs to be worked on. Methods: This study is a prospective study that included forty-five patients with spontaneous supra-tentorial intracerebral hematoma who were operated on by an endoscopic approach from January 2024 to April 2025. Results: We included the forty-five patients who met inclusion criteria (27 females and 18 males) whose ages ranged from 28 to 70 years. Regarding the location of hematoma, in 30 patients it was cortical, 6 patients it was cortical subcortical, and 9 patients it was in basal ganglia. Regarding complications, 9 patients experienced wound infection; there were no cases of re-bleeding or seizures. According to Glasgow outcome score, we have 15 with good recovery, 18 with moderate disability, 3 with severe disability, 9 patients died. Conclusion: Endoscopic technique is a safe surgical option for evacuation of spontaneous ICH. This minimally invasive technique could be helpful to provide better short-term outcomes. Patient selection is a very important prognostic factor. Using the endoscope can create a better view of hidden angles, reduce craniotomy-associated bleeding, and enhance time efficiency.