Global bibliometric analysis reveals neuroendoscopy research evolution from conservative treatment to augmented reality over two decades.
This bibliometric analysis examined the global research architecture and evolution of neuroendoscopic interventions for intracranial hemorrhage. The review included 403 articles authored by researchers from 555 institutions spanning 43 countries over the past two decades. No comparator group or specific clinical outcomes were evaluated as this study mapped the literature rather than testing a treatment.
The publication trajectory showed fluctuating growth, with China contributing the highest number of publications and citation impact, followed by the United States. Research keywords evolved from terms like 'intracerebral hemorrhage' and 'initial conservative treatment' to 'augmented reality,' reflecting changing technological interests. Thematic progression moved from early emphasis on operative feasibility and safety toward more rigorous evidence appraisal and refinement of context-specific clinical indications.
Safety data, adverse events, and tolerability were not reported in this review. Key limitations include the absence of clinical outcome data, as the study design was observational and descriptive rather than interventional. The findings describe the state of research rather than clinical performance. Practice relevance suggests neuroendoscopy is positioned as a cornerstone of modern intracranial hemorrhage management, reshaping strategies toward precision and minimal invasiveness based on the evolution of the literature.