Intracerebral Hemorrhage with Severe Ventricular Involvement --External Ventricle Drainage for Acute Obstructive Hydrocephalus
Clinical Neurology and Neuroscience
Volume 1, Issue 3, August 2017, Pages: 56-59
Received: Mar. 20, 2017;
Accepted: Apr. 12, 2017;
Published: May 24, 2017
Views 1569 Downloads 93
Xuejian Wang, Department of Neurosurgery, The Second Hospital Affiliated to Nantong University, Nantong University, Nantong, PR China
Yang Chen, Department of Neurosurgery, The Second Hospital Affiliated to Nantong University, Nantong University, Nantong, PR China
Zhifeng Wang, Department of Neurosurgery, The Second Hospital Affiliated to Nantong University, Nantong University, Nantong, PR China
Ming Qian, Department of Neurosurgery, The Second Hospital Affiliated to Nantong University, Nantong University, Nantong, PR China
Follow on us
Background and Purpose: The objective was to analyze the feasibility of an External Ventricle Drainage (EVD) for an obstructive hydrocephalus in patients with severe ventricular hemorrhage. Methods: In this retrospective study, from October 2012 to January 2014 in our department, 23 patients received an EVD for obstructive hydrocephalus. The duration of required EVD, risk factors, and therapeutic effect were analyzed. Results: Twenty three patients were enrolled; Hypertensive cerebral hemorrhage broken into ventricles and caused hydrocephalus in 19 cases, of which 14 cases led an EVD in single lateral ventricle forehead (five cases in left; nine in right side), 5 cases bilateral lateral ventricle forehead drainage; survival for 18 cases, but one case died of pulmonary infection; 4 cases need a further ventriculo-peritoneal shunt. Vascular malformations hemorrhage patients underwent single lateral EVD, bilateral drainage in one case; survived for three cases, one case died due to organ failure after infection; one case needs a further ventriculo-peritoneal shunt. Conclusion: Our data suggest that EVD is a safe and feasible way for treatment of acute obstructive hydrocephalus after intraventricular hemorrhage. After treatment by using an EVD for acute obstructive hydrocephalus, it can relieve patient’s condition and gain time to further save lives.
Intracerebral Hemorrhage, Obstructive Hydrocephalus, External Ventricle Drainage, Intraventricular Hemorrhage, Therapy
To cite this article
Intracerebral Hemorrhage with Severe Ventricular Involvement --External Ventricle Drainage for Acute Obstructive Hydrocephalus, Clinical Neurology and Neuroscience.
Vol. 1, No. 3,
2017, pp. 56-59.
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/
) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Adams RE, Diringer MN: Response to external ventricular drainage in spontaneous intracerebral hemorrhage with hydrocephalus. Neurology 50: 519–523, 1998.
Brott T, Broderick J, Kothari R, Barsan W, Tomsick T, Sauerbeck L, Spilker J, Duldner J, Khoury J: Early hemorrhage growth in patients with intracerebral hemorrhage. Stroke 28: 1-5, 1997.
Cherian S, Whitelaw A, Thoresen M, Love S: The pathogenesis of neonatal post-hemorrhagic hydrocephalus. Brain Pathol 14: 305-311, 2004.
Cramer BC, Walsh EA. Cisterna magna clot and subsequent post-hemorrhagic hydrocephalus. Pediatr Radiol 31: 153-159, 2001.
Engelhard HH, Andrews CO, Slavin KV, Charbel FT: Current management of intraventricular hemorrhage. Surg Neurol 60: 15–21, 2003.
Huttner HB, Nagel S, Tognoni E, Köhrmann M, Jüttler E, Orakcioglu B, Schellinger PD, Schwab S, Bardutzky J: Intracerebral hemorrhage with severe ventricular involvement: lumbar drainage for communicating hydrocephalus. Stroke 38: 183-187, 2007.
Liliang PC, Liang CL, Lu CH, Chang HW, Cheng CH, Lee TC, Chen HJ: Hypertensive caudate hemorrhage prognostic predictor, outcome, and role of external ventricular drainage. Stroke 32: 1195-1200, 2001.
Mayer SA. Ultra-early hemostatic therapy for intracerebral hemorrhage. Stroke 34: 224-229, 2003.
Naff NJ, Carhuapoma JR, Williams MA, Bhardwaj A, Ulatowski JA, Bederson J, Bullock R, Schmutzhard E, Pfausler B, Keyl PM, Tuhrim S, Hanley DF: Treatment of intraventricular hemorrhage with urokinase: effects on 30-Day survival. Stroke 31: 841-847, 2000.
Rohde V, Schaller C, Hassler WE: Intraventricular recombinant tissue plasminogen activator for lysis of intraventricular haemorrhage. J Neurol Neurosurg Psychiatry 58: 447-451, 1995.
Shooman D, Portess H, Sparrow O: A review of the current treatment methods for posthaemorrhagic hydrocephalus of infants. Cerebrospinal Fluid Res 30; 6: 1, 2009.
Sykora M, Diedler J, Poli S, Rizos T, Turcani P, Veltkamp R, Steiner T: Autonomic shift and increased susceptibility to infections after acute intracerebral hemorrhage. Stroke 42: 1218-1223, 2011.