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

## TL;DR

A new endoscopic method using a suction device with an agitation wire successfully treated a large cerebellar hemorrhage in a newborn with good long-term results.

## Contribution

A modified endoscopic technique using an agitation wire-enhanced suction device for cerebellar hemorrhage evacuation in newborns.

## Key findings

- Complete hematoma evacuation was achieved through a single burr hole.
- The 12-month follow-up showed excellent neurological outcomes and no hydrocephalus.

## Abstract

Cerebellar 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.

We 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.

At 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.