endoscopic clot evacuation of spontaneous intracerebral hemorrhage: optimizing functional recovery

Background: spontaneous intracerebral hemorrhage (sich) has remained a significant challenge in clinical practice, with high morbidity and mortality rates despite advancements in medical and surgical therapies. minimally invasive endoscopic clot evacuation offers a promising approach to reduce surgical risks and improve outcomes. however, this treatment needs further evaluation to establish efficacy and refine patient selection criteria. objectives: to evaluate the efficacy of endoscopic clot evacuation in improving functional outcomes (assessed by the modified rankin scale, mrs) in patients with supratentorial sich and to identify key prognostic factors influencing surgical success. materials & methods: this is a retrospective study on patients diagnosed with supratentorial sich who received endoscopic clot evacuation. age, sex, initial glasgow coma scale (gcs), clot volume, aphasia, and postoperative functional outcomes were analyzed. results: a total of 38 patients with supratentorial sich underwent endoscopic clot evacuation from january 2021 to june 2024, with a median age of 55 years and mean ich volume of 35.14±9.9 ml. aphasia was strongly correlated with poor outcomes (relative risk [rr]: 11.33, 95% ci, 3.84%, 33.39%; p<0.001). other factors, including age, gender, and ich volume, did not significantly correlate with modified rankin scale (mrs) outcomes. conclusion: endoscopic clot evacuation provides patients with good postoperative functional outcomes. patient selection is the basic yet important factor to be noticed to achieve the goals of the surgery.