Procedure

• To begin with a stereotactic frame is attached to the patient’s head using local anaesthesia at the pin insertion site.
• This works as a reference for all scans (CT, MRI, PET) which are used for target localization. This system allows computerized planning of the surgical approach with sub-millimeter precision.

• A CT/MRI scan is then performed to obtain the co-ordinates.
• In the operating room, the patient’s head is rested on a clamp system in a comfortable position.
• A small linear incision is made on the scalp and a small hole is drilled into the skull.

• After the evacuation of the ICH clot, a drain placed directly into the cavity which in turn encourages further drainage.

• An aspirating needle is placed into the middle of the haemorrhagic cavity, using the coordinates obtained by the computer workstation.

Archimedes screw aspirator aids in the break-up of blood clot and evacuation of ICH.

• After the evacuation of the ICH clot, a drain placed directly into the cavity which in turn encourages further drainage.