AUTHOR=Wendel C. , Ganslandt O. , Rafat N. , Bittl M. 

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

JOURNAL=Frontiers in Surgery

VOLUME=Volume 12 - 2025

YEAR=2025

URL=https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2025.1579852

DOI=10.3389/fsurg.2025.1579852

ISSN=2296-875X

ABSTRACT=BackgroundCerebellar 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.Case descriptionWe 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.ConclusionAt 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.