AUTHOR=Sun Eryi , Lu Siyuan , Chen Bo , Wu Qi 

TITLE=An endoscopic-assisted contralateral paramedian supracerebellar infratentorial approach in the treatment of thalamic hemorrhage with hematoma extension into the brainstem: a case report

JOURNAL=Frontiers in Surgery

VOLUME=10

YEAR=2023

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2023.1277990

DOI=10.3389/fsurg.2023.1277990

ISSN=2296-875X

ABSTRACT=<sec><title>Objective</title><p>Thalamic hemorrhage (TH) with hematoma extension into the brainstem can lead to poor outcomes. In this study, we discuss the feasibility of the endoscopic-assisted contralateral paramedian supracerebellar infratentorial (SCIT) approach as a therapeutic method for treating such patients.</p></sec><sec><title>Case presentation</title><p>A patient suffered from a sudden loss of consciousness and right limb weakness, and a CT scan indicated TH with hematoma extension into the brainstem. She consented to undergo surgery by the endoscopic-assisted contralateral paramedian SCIT approach.</p></sec><sec><title>Results</title><p>Now, the patient can open her eyes on her own and move her left arm in response to commands.</p></sec><sec><title>Conclusion</title><p>The endoscopic-assisted contralateral paramedian SCIT approach may be a viable therapeutic method for treating TH patients with hematoma extension into the brainstem.</p></sec>