{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T00:25:54Z","timestamp":1717201554563},"reference-count":17,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nMinimally invasive endoscopic and stereotactic surgery have been established as surgical treatments for putaminal hemorrhage. However, facilities that do not have equipment for endoscopic or stereotactic surgery will likely have to perform conventional craniotomy. Using a tubular retractor, we were able to perform minimally invasive surgery, such as endoscopic surgery.<\/jats:p>\n<\/jats:sec>\n\nMethods: <\/jats:title>\nA craniotomy was performed for left putaminal hemorrhage after cerebral infarction treatment. A 3\u20134 cm craniotomy centered at Kocher\u2019s point was performed under general anesthesia. A 2 cm incision was made in the cortex, and a tubular retractor was inserted under a microscope. The hematoma was reached at a position 4\u20135 cm from the cortex.<\/jats:p>\n<\/jats:sec>\n\nResults: <\/jats:title>\nThanks to the tubular retractor, it was relatively easy to observe the hematoma, and it was possible to remove it and confirm hemostasis without difficulty. Brain injury caused by the retractor insertion cavity was small, and no hemostasis was required. The surgery was completed by dura mater closure, bone flap fixation, and wound closure as per the standard. Most of the putaminal hemorrhage could be removed, and there was no rebleeding after the operation. The patient is still undergoing rehabilitation because of aphasia and muscle weakness. Manual Muscle Testing was at three points in the upper limb, and four points in the lower limb remained.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nFor putaminal hemorrhage, microscopic craniotomy was performed using a tubular retractor and an approach such as endoscopic surgery. Craniotomy, hematoma removal, and hemostasis operations are also considered to be minimally invasive surgeries.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_265_2024","type":"journal-article","created":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T09:49:49Z","timestamp":1717148989000},"page":"183","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Minimally invasive craniotomy for putaminal hemorrhage using a tubular retractor: A technical note"],"prefix":"10.25259","volume":"15","author":[{"given":"Takuto","family":"Kuwajima","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Saiseikai Noe Hospital, Osaka, Japan"},{"name":"Department of Neurosurgery, Hyogo Medical University, Nishinomiya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikiya","family":"Beppu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Saiseikai Noe Hospital, Osaka, Japan"},{"name":"Department of Neurosurgery, Hyogo Medical University, Nishinomiya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinichi","family":"Yoshimura","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Hyogo Medical University, Nishinomiya, Japan."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"10.25259\/SNI_265_2024\/ref-1","doi-asserted-by":"crossref","first-page":"570","DOI":"10.1080\/02688697.2021.1918632","article-title":"Microsurgical endoportal MRI\/US-navigated approach for the resection of large intraventricular tumours: A 20-consecutive patients case series","volume":"35","author":"Capitanio","year":"2021","journal-title":"Br J Neurosurg"},{"key":"10.25259\/SNI_265_2024\/ref-2","doi-asserted-by":"crossref","first-page":"877","DOI":"10.3171\/jns.2000.92.5.0877","article-title":"Subfascial and submuscular methods of temporal muscle dissection and their relationship to the frontal branch of the facial nerve. 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