The Broun-Robert-Wells(BRW) stereotactic system has many advantages in the supratentorial spontaneous intrcerebral hemorrhage(ICH), but it has less accessibility to the spontaneous cerebellar hemorrhage by stereotactic suboccipital approach. To overco...
The Broun-Robert-Wells(BRW) stereotactic system has many advantages in the supratentorial spontaneous intrcerebral hemorrhage(ICH), but it has less accessibility to the spontaneous cerebellar hemorrhage by stereotactic suboccipital approach. To overcome this disadvantage, we have tried to treat stereotactically three patients of spontaneous intracerebellar hemorrhage thorugh tentorium using BRW stereotaxis and gradual irrigation with urokinase(UK). This new approach has been used successfully under the local anesthesia with satisfactory postoperative neurological results. We present a detailed technique of this approach.