Explore the application of endoscope-assisted transcallosal microsurgery technique in the treatment of severe thalamic ventricular hemorrhage.

The clinical data of 22 patients with severe thalamic ventricular hemorrhage who were treated by endoscope-assisted transcallosal microsurgery were collected, the operation result and prognosis were analyzed. Endoscopic assisted by the corpus callosum into the line of hematoma removal, admission GCS score 9-13 points in 1 case, 7-8 points in 7 cases, 5-6 points in 10 cases, 4-5 points in 4 cases. Clinical manifestations of sudden disturbance of consciousness, side of the limb incomplete hemiplegia or/and sensory disturbances, some patients with nausea and vomiting, admission, there are 6 cases of side or bilateral pupil enlargement and other hernia symptoms, no other serious Complications, from onset to surgery time are in the 6-24 h.

Twenty-two patients with postoperative head CT suggest that hematoma are basically all cleared. No postoperative intracranial infection and rebleeding. The patients were followed up for 6 months. There were 2 cases of ADL grade Ⅰ, 4 cases of ADL grade Ⅱ, 5 cases of ADL grade Ⅲ, 7 cases of ADL grade Ⅳ, 4 case of ADL grade Ⅴ, good recovery rate was 50%.

Severe thalamic hemorrhage with endoscopic assisted by the corpus callosum approach to remove hematoma is an effective method, and cause low postoperative complications. Further clinical study is needed.