Minimally invasive surgical approaches for spontaneous intracranial hemorrhage in neonates aged 0–3 months

Abstract

Objective

The aim of this study is to assess the clinical efficacy of minimally invasive surgical interventions in addressing spontaneous intracranial hemorrhage among neonates aged 0–3 months.

Methods

A retrospective analysis was conducted on a cohort of 30 neonates diagnosed with spontaneous intracranial hemorrhage, who underwent minimally invasive cranial trepanation and drainage procedures at our department between 2011 and 2015.

Results

A comprehensive follow-up, spanning a duration of 1–5 years, was conducted for all 30 neonates, revealing a 100% survival rate among the pediatric cohort.

Conclusion

The findings suggest that minimally invasive cranial trepanation and drainage exhibit efficacy in neonates aged 0–3 months experiencing spontaneous intracranial hemorrhage, leading to a reduction in both mortality and disability rates. It is recommended that surgery be promptly performed upon definitive diagnosis and identification of operation indications to prevent severe brain damage resulting from prolonged intracranial hypertension and potential fatal outcomes in neonates. Furthermore, the surgical procedure is characterized by its simplicity, involving minimal trauma.

Keywords:

• Infant
• spontaneous
• intracranial hemorrhage
• minimally invasive
• burr hole drainage surgery

Acknowledgements

We are particularly grateful to all the people who have given us help on our article.

Ethics approval and consent to participate

The study was conducted in accordance with the Declaration of Helsinki(as was revised in 2013). The study was approved by Ethics Committee of the Children’s Hospital of Anhui Medical University (No. EYLL-2019-026). All patient guardians signed a document of informed consent.

Disclosure statement

The authors declare that they have no competing interests.

Availability of data and material

All data generated or analyzed during this study are included in this article. Further enquiries can be directed to the corresponding author.

Additional information

Funding

This study was supported by the Application of intraoperative neuroelectrophysiological monitoring in spinal cord surgery in infants (2019xkj175).