Surgical treatment of spontaneous brainstem hemorrhage: A case report

Abstract

RationaleThe improvement of microneurosurgery and neuroimaging, as well as neuronavigation and neurophysiological monitoring, enables neurosurgeons to safely and accurately resect lesions on the brainstem.Patient concernsA 54-year-old man, with 2-year history of hypertension, presented with sudden loss of consciousness for 1.5hours.DiagnosesSpontaneous brainstem hemorrhage.InterventionsWe performed posterior fossa decompression together with hematoma evacuation in the super early stage for the patient.OutcomesThe patient regained normal spontaneous breathing function after surgery. And he needed help for daily activities with hemiplegia of right limb at three-month follow-up.LessonsThe hematoma evacuation together with posterior fossa decompression in the super early stage maybe a good treatment for patients in a deep coma with a large hematoma at the dorsal side.