Surgical treatment of spontaneous brainstem hemorrhage: A case report.

RATIONALE: The improvement of microneurosurgery and neuroimaging, as well as neuronavigation and neurophysiological monitoring, enables neurosurgeons to safely and accurately resect lesions on the brainstem.

PATIENT CONCERNS: A 54-year-old man, with 2-year history of hypertension, presented with sudden loss of consciousness for 1.5 hours.

DIAGNOSES: Spontaneous brainstem hemorrhage.

INTERVENTIONS: We performed posterior fossa decompression together with hematoma evacuation in the super early stage for the patient.

OUTCOMES: The patient regained normal spontaneous breathing function after surgery. And he needed help for daily activities with hemiplegia of right limb at three-month follow-up.

LESSONS: The hematoma evacuation together with posterior fossa decompression in the super early stage maybe a good treatment for patients in a deep coma with a large hematoma at the dorsal side.