External ventricular drainage for acute obstructive hydrocephalus developing following spontaneous intracerebral haemorrhages - PubMed (original) (raw)
External ventricular drainage for acute obstructive hydrocephalus developing following spontaneous intracerebral haemorrhages
M Murat Sumer et al. Neurol Sci. 2002 Apr.
Abstract
There is no consensus in the literature on the effects of the development of hydrocephalus on survival and disability after intracerebral haemorrhage (ICH) and the benefits of external ventricular drainage (EVD). In this open, prospective study, we investigated the clinical courses, radiological findings and outcome scores of 47 consecutive patients who were admitted to our clinic with spontaneous ICH. Hydrocephalus developed in 6 (12.8%) of the 47 patients, and EVD was applied in these 6 cases. In one of the 6 patients, the lesion was additionally excised due to the large cerebellar haematoma. Intraventricular haemorrhage was more common in patients developing hydrocephalus (83.3% vs. 29.3% in patients without hydrocephalus; p<0.05) and the lesions of all the patients were in the proximity of the ventricular system. Hospital mortality and functional outcome were not significantly different between patients with and without hydrocephalus. Our results shown that acute obstructive hydrocephalus should be anticipated if haematoma is near the ventricle or if it is opening to the ventricle. EVD is a life-saving and effective procedure that should be performed in patients who develop hydrocephalus following spontaneous intracerebral haemorrhage.
Similar articles
- Risk factors for infections related to external ventricular drainage.
Hoefnagel D, Dammers R, Ter Laak-Poort MP, Avezaat CJ. Hoefnagel D, et al. Acta Neurochir (Wien). 2008 Mar;150(3):209-14; discussion 214. doi: 10.1007/s00701-007-1458-9. Epub 2008 Feb 19. Acta Neurochir (Wien). 2008. PMID: 18278575 - Intraventricular fibrinolysis and lumbar drainage for ventricular hemorrhage.
Staykov D, Huttner HB, Struffert T, Ganslandt O, Doerfler A, Schwab S, Bardutzky J. Staykov D, et al. Stroke. 2009 Oct;40(10):3275-80. doi: 10.1161/STROKEAHA.109.551945. Epub 2009 Aug 13. Stroke. 2009. PMID: 19679848 Clinical Trial. - Treatment of hydrocephalus with functionally isolated ventricles.
Atalay B, Yilmaz C, Cekinmez M, Altinors N, Caner H. Atalay B, et al. Acta Neurochir (Wien). 2006 Dec;148(12):1293-6; discussion 1296. doi: 10.1007/s00701-006-0906-2. Epub 2006 Oct 17. Acta Neurochir (Wien). 2006. PMID: 17039301 - External ventricular drainage for intraventricular hemorrhage.
Dey M, Jaffe J, Stadnik A, Awad IA. Dey M, et al. Curr Neurol Neurosci Rep. 2012 Feb;12(1):24-33. doi: 10.1007/s11910-011-0231-x. Curr Neurol Neurosci Rep. 2012. PMID: 22002766 Free PMC article. Review. - Do iatrogenic factors bias the placement of external ventricular catheters?--a single institute experience and review of the literature.
Woernle CM, Burkhardt JK, Bellut D, Krayenbuehl N, Bertalanffy H. Woernle CM, et al. Neurol Med Chir (Tokyo). 2011;51(3):180-6. doi: 10.2176/nmc.51.180. Neurol Med Chir (Tokyo). 2011. PMID: 21441733 Review.
Cited by
- Clinical impact of craniectomy on shunt-dependent hydrocephalus after intracerebral hemorrhage: A propensity score-matched analysis.
Lee SH, Ko MJ, Lee YS, Cho J, Park YS. Lee SH, et al. Acta Neurochir (Wien). 2024 Jan 25;166(1):34. doi: 10.1007/s00701-024-05911-8. Acta Neurochir (Wien). 2024. PMID: 38270816 - Predicting the need for cerebrospinal fluid shunt implantation after spontaneous intracerebral hemorrhage: a challenging task.
Khalaveh F, Zeiser V, Cho A, Schmelzer S, Reinprecht A, Herta J, Roessler K, Dorfer C. Khalaveh F, et al. Front Neurol. 2023 Dec 7;14:1255477. doi: 10.3389/fneur.2023.1255477. eCollection 2023. Front Neurol. 2023. PMID: 38187155 Free PMC article. - Diagnosis and Management of Pineal Germinoma: From Eye to Brain.
Cohen D, Litofsky NS. Cohen D, et al. Eye Brain. 2023 Apr 13;15:45-61. doi: 10.2147/EB.S389631. eCollection 2023. Eye Brain. 2023. PMID: 37077304 Free PMC article. Review. - Pre-operative external ventricle drainage improves neurological outcomes for patients with traumatic intracerebellar hematomas.
Wang B, Gao L, Zhang Y, Su MM, Shi W, Wang Y, Ge SN, Zhu G, Guo H, Gao F, Shi YW, Cui WX, Li ZH, Qu Y, Wang XL. Wang B, et al. Front Neurol. 2022 Oct 18;13:1006227. doi: 10.3389/fneur.2022.1006227. eCollection 2022. Front Neurol. 2022. PMID: 36330427 Free PMC article. - Prediction of Shunt-Dependent Hydrocephalus after Primary Supratentorial Intracerebral Hemorrhage with a Focus on the Influence of Craniectomies.
Park YS, Cho J. Park YS, et al. J Korean Neurosurg Soc. 2022 Jul;65(4):582-590. doi: 10.3340/jkns.2021.0142. Epub 2022 Jun 30. J Korean Neurosurg Soc. 2022. PMID: 35765929 Free PMC article.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical