case_images: PMC10695458_01
case_images: Computed tomography scans. (a) Axial plane view of the brain 10 h before initial surgical evacuation of the intracerebral hemorrhage (ICH). (b) Coronal plane view of the brain 10 h before initial surgical evacuation of the ICH. (c) Axial plane view of the brain 28 h after surgical evacuation of the ICH. (d) Coronal plane view of the brain 28 h after surgical evacuation of the ICH.
case_images: SNI-14-395-g001.jpg
case_images: PMC10695458_01_SNI-14-395-g001.jpg
case_images: F1
case_images: Computed tomography (CT) scans of the brain revealed an 87 cc (6.5 x 6.2 x 4.3 cm/2 using the A x B x C/2 estimation) ICH in the left frontal region (extending to the basal ganglia with intraventricular hemorrhage and effacement of the ventricles [Figures 1a and b]. The post-operative CT scans of the brain showed adequate evacuation of the hematoma with a small residual hematoma [Figures 1c and d].
case_images: Neuromonitoring data. (a) Intracranial pressure (ICP) versus time. (b) Cerebral perfusion pressure (CPP) versus time. (c) Brain tissue oxygenation (PbtO2) versus time. All neuromonitors were located in the left frontal lobe. Surgery for intracerebral hemorrhage evacuation occurred at 0 h, and surgical placement of the ventriculostomy drain occurred at 62 h (indicated by the dotted black line).
case_images: SNI-14-395-g002.jpg
case_images: PMC10695458_01_SNI-14-395-g002.jpg
case_images: F2
case_images: Following placement of the drain, L/P ratios lowered toward normal thresholds, and PbtO2 improved to above >20 mmHg [Figures 2 and 3].
case_images: Cerebral microdialysis data. (a) Glucose versus time. (b) Lactic acid versus time. (c) Pyruvic Acid versus time. (d) Lactate to pyruvate (L/P) ratio versus time collected from cerebral microdialysis catheter in the left frontal lobe. All cerebral microdialysis catheters were located in the left frontal lobe. Surgery for intracerebral hemorrhage evacuation occurred at 0 h, and surgical placement of the ventriculostomy drain occurred at 62 h (indicated by the dotted black line).
case_images: SNI-14-395-g003.jpg
case_images: PMC10695458_01_SNI-14-395-g003.jpg
case_images: F3
case_images: Following placement of the drain, L/P ratios lowered toward normal thresholds, and PbtO2 improved to above >20 mmHg [Figures 2 and 3].
case_images: Computed tomography (CT) and magnetic resonance imaging (MRI) images done three weeks after the initial hemorrhage. (a) Axial CT scan through the area of the hemorrhage. (b) Axial T1 MRI scan through the same area. Note the area of increased signal lateral to the area of hemorrhage evacuation that represents residual hemorrhage that was not removed at the time of the BrainPath  procedure. (c) Coronal CT scan through the area of the hemorrhage. (d) Coronal T1 MRI scan through the same area. Note the area of residual hemorrhage lateral to the area of hemorrhage. There is an overall decrease in mass effect and surrounding cerebral edema on these images taken about three weeks after the initial hemorrhage. The ventriculostomy has been removed. There is no sign of hydrocephalus.
case_images: SNI-14-395-g004.jpg
case_images: PMC10695458_01_SNI-14-395-g004.jpg
case_images: F4
case_images: She did not develop hydrocephalus [Figure 4].