Javed Kainaat, Hamad Mousa K, Holland Ryan, Fortunel Adisson N, Ammar Adam, Cezayirli Phillip C, Haranhalli Neil, Altschul David J
Neurological Surgery, Montefiore Medical Center, Moses Campus, New York, USA.
Cureus. 2021 Jul 2;13(7):e16124. doi: 10.7759/cureus.16124. eCollection 2021 Jul.
BrainPath (NICO, Indianapolis, Indiana) is a tool that can be used to evacuate supratentorial hematomas due to spontaneous intracerebral hemorrhage (ICH). However, when ICH occurs in the posterior fossa, an open approach is often undertaken to evacuate the hematoma. The application of minimally invasive technology, while available, has not been well established. Our objective was to describe the use of the image-guided, minimally invasive BrainPath system to evacuate a spontaneous cerebellar hemorrhage. We present the case of a sixty-four-year-old male patient with a cerebellar hematoma due to hypertensive hemorrhage. The patient's medical record, including the history and physical, progress notes, operative notes, discharge summary, and imaging studies were reviewed to document the clinical presentation as well as the details of the operative technique and postoperative outcomes in this paper. We discuss the technical nuances of the operative points in detail. In our example case, the BrainPath system was successfully used to evacuate the cerebellar hematoma and no procedural-related complications occurred. The patient's recovery remained uncomplicated at three months of follow-up. In summary, the BrainPath system offers a less invasive alternative to open evacuation for cerebellar bleeds.
BrainPath（NICO公司，印第安纳波利斯，印第安纳州）是一种可用于清除自发性脑出血（ICH）所致幕上血肿的工具。然而，当ICH发生在后颅窝时，通常采用开放手术来清除血肿。尽管有微创技术可用，但其应用尚未得到充分确立。我们的目的是描述使用图像引导的微创BrainPath系统清除自发性小脑出血。我们报告一例64岁男性患者因高血压性出血导致小脑出血的病例。回顾了该患者的病历，包括病史和体格检查、病程记录、手术记录、出院小结以及影像学研究，以记录本文中的临床表现以及手术技术细节和术后结果。我们详细讨论了手术要点的技术细微差别。在我们的示例病例中，BrainPath系统成功用于清除小脑出血，且未发生与手术相关的并发症。在三个月的随访中，患者恢复顺利。总之，对于小脑出血，BrainPath系统为开放清除血肿提供了一种侵入性较小的替代方法。
