Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn—a modified approach using an agitation wire enhanced suction device

BackgroundCerebellar hemorrhage in term newborns is a rare but potentially life-threatening condition requiring prompt intervention. Traditional micro surgical approaches carry significant risks of surgical trauma and post-operative cerebrospinal fluid leakage.Case descriptionWe present a case of su...

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Main Authors: C. Wendel, O. Ganslandt, N. Rafat, M. Bittl
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-06-01
Series:Frontiers in Surgery
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Online Access:https://www.frontiersin.org/articles/10.3389/fsurg.2025.1579852/full
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author C. Wendel
O. Ganslandt
N. Rafat
M. Bittl
author_facet C. Wendel
O. Ganslandt
N. Rafat
M. Bittl
author_sort C. Wendel
collection DOAJ
description BackgroundCerebellar hemorrhage in term newborns is a rare but potentially life-threatening condition requiring prompt intervention. Traditional micro surgical approaches carry significant risks of surgical trauma and post-operative cerebrospinal fluid leakage.Case descriptionWe present a case of successful endoscopic evacuation of a large cerebellar hemorrhage using a novel suction device with an integrated agitation wire. Complete hematoma evacuation was achieved through a single burr hole approach.ConclusionAt 12-month follow-up, developmental assessment demonstrated excellent neurological outcome with no evidence of hydrocephalus, suggesting this minimally invasive technique as a viable alternative to traditional approaches.
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publisher Frontiers Media S.A.
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series Frontiers in Surgery
spelling doaj-art-53f4dbed9863413fb3b0f9bc1b484fbf2025-08-20T03:22:08ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-06-011210.3389/fsurg.2025.15798521579852Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn—a modified approach using an agitation wire enhanced suction deviceC. Wendel0O. Ganslandt1N. Rafat2M. Bittl3Department of Neurosurgery, Klinikum Stuttgart, Stuttgart, GermanyDepartment of Neurosurgery, Klinikum Stuttgart, Stuttgart, GermanyDepartment of Neonatology, Center for Children, Adolescent and Women’s Medicine, Olgahospital, Stuttgart, GermanyDepartment of Neurosurgery, Klinikum Stuttgart, Stuttgart, GermanyBackgroundCerebellar hemorrhage in term newborns is a rare but potentially life-threatening condition requiring prompt intervention. Traditional micro surgical approaches carry significant risks of surgical trauma and post-operative cerebrospinal fluid leakage.Case descriptionWe present a case of successful endoscopic evacuation of a large cerebellar hemorrhage using a novel suction device with an integrated agitation wire. Complete hematoma evacuation was achieved through a single burr hole approach.ConclusionAt 12-month follow-up, developmental assessment demonstrated excellent neurological outcome with no evidence of hydrocephalus, suggesting this minimally invasive technique as a viable alternative to traditional approaches.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1579852/fullcerebellar hematomaterm newbornendoscopic evacuationneuroendoscopyminimal invasivehematoma evacuation
spellingShingle C. Wendel
O. Ganslandt
N. Rafat
M. Bittl
Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn—a modified approach using an agitation wire enhanced suction device
Frontiers in Surgery
cerebellar hematoma
term newborn
endoscopic evacuation
neuroendoscopy
minimal invasive
hematoma evacuation
title Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn—a modified approach using an agitation wire enhanced suction device
title_full Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn—a modified approach using an agitation wire enhanced suction device
title_fullStr Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn—a modified approach using an agitation wire enhanced suction device
title_full_unstemmed Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn—a modified approach using an agitation wire enhanced suction device
title_short Case Report: Endoscopic evacuation of a large cerebellar hemorrhage in a term newborn—a modified approach using an agitation wire enhanced suction device
title_sort case report endoscopic evacuation of a large cerebellar hemorrhage in a term newborn a modified approach using an agitation wire enhanced suction device
topic cerebellar hematoma
term newborn
endoscopic evacuation
neuroendoscopy
minimal invasive
hematoma evacuation
url https://www.frontiersin.org/articles/10.3389/fsurg.2025.1579852/full
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