Minimally Invasive Surgery for Intracerebral and Intraventricular Hemorrhage: Rationale, Review of Existing Data and Emerging Technologies

ICH, particularly when associated with IVH, remains a common and devastating disease, resulting in either death or permanent disability in most patients affected. To date, no neurosurgical interventions have been definitively shown to improve outcomes for ICH patients. However, encouraging data are emerging to indicate that MIS may reduce the secondary injury after both ICH and IVH and, thereby, potentially reduce both mortality and dependence. Currently, trials are underway evaluating several new minimally invasiveapproaches for ICH and IVH evacuation, and much more definitive evidence is expected in the near future.