Stereotactic aspiration for basal ganglia hemorrhage evacuation

• Effects of stereotactic aspiration on brainstem hemorrhage in a case series
• Comparison of Craniotomy and Stereotactic Aspiration Plus Thrombolysis in Isolated Capsulo-Ganglionic Hematoma: A Retrospective Analyses
• Long-term outcome of stereotactic aspiration, endoscopic evacuation, and open craniotomy for the treatment of spontaneous basal ganglia hemorrhage: a propensity score study of 703 cases
• Early Minimally Invasive Endoscopic Intracerebral Hemorrhage Evacuation
• Long-Term Effect of Endoscopic Evacuation for Large Basal Ganglia Hemorrhage With GCS Scores ≦ 8
• Comparison of endoscopic evacuation, stereotactic aspiration, and craniotomy for treatment of basal ganglia hemorrhage
• Clinical experience of individual surgical therapy in hypertensive basal ganglia hemorrhage
• Endoscopic surgery for spontaneous basal ganglia hemorrhage: comparing endoscopic surgery, stereotactic aspiration, and craniotomy in noncomatose patients

For Kumar et al. stereotactic aspiration of the hematoma has a superior edge over craniotomy. Neurological and care parameters are significantly better with stereotactic aspiration. Its safety and surgical performance parallel craniotomy ¹⁾

Stereotactic Catheter Drainage (SCD) surgery is safe and effective in patients with severe hemorrhage and has fewer complications and better clinical outcomes than conventional craniotomy ²⁾.

Good clinical outcome can be expected after stereotactic catheter drainage in patients with a hematoma volume between 20 and 30 cm3, an initial GCS score ≥ 13, and the absence of internal capsule involvement. Among these patients, stereotactic catheter drainage may have a beneficial effect on early recovery of motor weakness and functional outcome, indicating that lateral-type basal ganglia hematoma compression not involving the internal capsule may be better treated using stereotactic catheter drainage than treated medically ³⁾.