Endoscopic brainwash after clipping a ruptured aneurysm of the communicating segment of the intracranial carotid artery.

payth.elady61 shared this article with you from Inoreader Endoscopic brainwash after clipping a ruptured aneurysm of the communicating segment of the intracranial carotid artery. Via Surgical neurology international,http://www.surgicalneurologyinternational.com/ Related Articles Endoscopic brainwash after clipping a ruptured aneurysm of the communicating segment of the intracranial carotid artery. Surg Neurol Int. 2020;11:396 Authors: da Costa MDS, Lopes RRS, Serrato-Avila JL, Cavalheiro S, Chaddad-Neto F Abstract Background: Intracranial aneurysms are common vascular malformation occurring in 1-2% of the population and accounting for 80-85% of nontraumatic subarachnoid hemorrhages. About 10% of the ruptured aneurysm causing subarachnoid hemorrhage (SHA) develop intraventricular hemorrhage (IVH). In this scenario, the external ventricular drain (EVD) is a usual treatment for IVH. To reduce the time for the clot absorption, the neuroendoscopy with clot removal and ventricular irrigation is a feasible option, although not routinely used. Case Description: This 2D video shows a case of a 60-year-old female, with sudden headache associated with nausea and vomit. The brain angiotomography revealed aneurysm in the communicating segment of the left internal carotid artery, with 10.5 mm of diameter; also showed intraparenchymal, subarachnoid, and IVH, with a Fisher Modified Grade of 4 and a prompt aneurysm clipping and EVD were performed. Two days after the first surgical procedure, a neuroendoscopy was performed to remove the ventricular clots and improve the patient outcomes. Conclusion: In the presented case, at the 6th postoperative month, the patient was Grade 1 in the Rankin Modified Scale and without hydrocephalus. This procedure can be used routinely as an additional tool to microsurgical clipping to improve patients outcome. PMID: 33282457 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.