{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:47:25Z","timestamp":1785822445099,"version":"3.56.0"},"reference-count":25,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T00:00:00Z","timestamp":1785801600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Hypertensive basal ganglia hemorrhage (HBGH) with intraventricular extension is frequently associated with cerebrospinal fluid (CSF) circulation disturbance, postoperative complications, and poor neurological outcomes. We evaluated a single-stage surgical strategy combining trans-sylvian hematoma evacuation with lamina terminalis ventriculostomy (LTV) in patients with HBGH and ventricular extension.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This retrospective cohort study included 70 patients with HBGH (hematoma volume \u226530\u2005mL) and intraventricular extension. Patients who underwent isolated trans-sylvian hematoma evacuation between 2020 and 2021 served as the control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200935), whereas patients treated with trans-sylvian evacuation plus LTV between 2023 and 2024 comprised the combined group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200935). Propensity score matching (1:1.5 nearest-neighbor matching, caliper\u2009=\u20090.2) was performed using available baseline variables. Cerebral hemodynamics, ADL-based functional recovery, postoperative complications, and EORTC QLQ-C30 scores were analyzed.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After matching, 20 control patients and 30 combined-procedure patients were included. The combined group showed significantly higher postoperative mean flow velocity and lower pulsatility index at postoperative days 7 and 14 (all\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Functional recovery assessed by ADL grades I\u2013II was significantly better in the combined group (76.67% vs. 35.00%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.003). The overall incidence of postoperative complications was significantly lower in the combined group (6.67% vs. 55.00%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.001). Although significant differences in EORTC QLQ-C30 scores were observed during follow-up, these findings did not consistently favor the combined procedure and should be interpreted cautiously.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Trans-sylvian hematoma evacuation combined with LTV was associated with improved cerebral hemodynamics, better ADL-based functional recovery, and fewer postoperative complications in selected patients with HBGH and ventricular extension. Because several severity-related variables and shunt-dependency outcomes were unavailable, prospective multicenter studies are required to confirm its long-term clinical benefits.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1874525","type":"journal-article","created":{"date-parts":[[2026,8,4]],"date-time":"2026-08-04T05:38:19Z","timestamp":1785821899000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trans-sylvian hematoma evacuation combined with lamina terminalis ventriculostomy for hypertensive basal ganglia hemorrhage: a retrospective cohort study"],"prefix":"10.3389","volume":"13","author":[{"given":"Liu","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Xiangdong Hospital Affiliated to Hunan Normal University","place":["Zhuzhou City, Hunan Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiurong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xiangdong Hospital Affiliated to Hunan Normal University","place":["Zhuzhou City, Hunan Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chengping","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xiangdong Hospital Affiliated to Hunan Normal University","place":["Zhuzhou City, Hunan Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Runsan","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Xiangdong Hospital Affiliated to Hunan Normal University","place":["Zhuzhou City, Hunan Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ying","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Xiangdong Hospital Affiliated to Hunan Normal University","place":["Zhuzhou City, Hunan Province, China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,8,4]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1007\/s10143-023-02044-x","article-title":"Bilateral basal ganglia hemorrhage: a systematic review of etiologies, management strategies, and clinical outcomes","volume":"46","author":"Watanabe","year":"2023","journal-title":"Neurosurg Rev"},{"key":"B2","doi-asserted-by":"publisher","first-page":"2","DOI":"10.1016\/j.spen.2017.12.005","article-title":"Anatomy, physiology, and clinical syndromes of the basal ganglia: a brief review","volume":"25","author":"Fazl","year":"2018","journal-title":"Semin Pediatr Neurol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"e282","DOI":"10.1161\/STR.0000000000000407","article-title":"2022 guideline for the management of patients with spontaneous 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