Minimally Invasive Puncture and Drainage Surgery for the Treatment of Thalamic Hemorrhage Guided by a 3D-printed Guide Plate.

Abstract

Thalamic hemorrhage is a type of intracerebral hemorrhage with high disability and mortality rates. Because of its deep bleeding location, irregular shape of the hematoma, and compression of the third ventricle, it is not suitable for craniotomy. This paper reports a case of a 63-year-old male patient who sought medical attention for left-sided basal ganglia and thalamus hemorrhage that broke into the ventricles. Upon admission, the patient exhibited impaired consciousness and was diagnosed with thalamic hemorrhage accompanied by ventricular hemorrhage through the head CT and CTA scan. To address the patient's unique circumstances, a 3D-printed guide plate was utilized to guide the puncture and drainage surgery, thereby ensuring a relatively smooth and less traumatic process. After the surgery, the patient's consciousness recovered well, and there was significant improvement in clinical indicators. This case demonstrates that a 3D-printed guide plate has the advantage of precise localization and minimal trauma in guiding thalamic hemorrhage surgery, showing promising clinical application prospects and being worthy of promotion in future clinical practice.