An outcome analysis of two different procedures of burr-hole trephine and external ventricular drainage in acute hydrocephalus

2012 ◽  
Vol 19 (2) ◽  
pp. 267-270 ◽  
Author(s):  
Petra Schödel ◽  
Martin Proescholdt ◽  
Odo-Winfried Ullrich ◽  
Alexander Brawanski ◽  
Karl-Michael Schebesch
Keyword(s):  
External Ventricular Drainage ◽  
Burr Hole ◽  
Outcome Analysis ◽  
Ventricular Drainage ◽  
Acute Hydrocephalus

scholarly journals Resolution of Acute Hydrocephalus and Migration of Neurocysticercosis Cyst with External Ventricular Drainage

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Abhineet Chowdhary ◽  
Taylor J. Abel ◽  
Patrik Gabikian ◽  
Gavin W. Britz
Keyword(s):  
United States ◽  
The United States ◽  
External Ventricular Drainage ◽  
Nausea And Vomiting ◽  
Ventricular Drainage ◽  
Csf Flow ◽  
Acute Hydrocephalus ◽  
Head Ct ◽  
The Us ◽  
And Migration

Neurocysticercosis is endemic in the developing world, but is becoming more common in the US due to immigration. A 24-year-old man presented with acute hydrocephalus and headaches, nausea, and vomiting. Head CT revealed a 3rd ventricular cyst and immunological studies were suggestive of neurocysticercosis. EVD placement resulted in migration of the cyst interiorly and superiorly with return of normal CSF flow by MRI and resolution of symptoms. Review of this condition is important given increasing incidence in the United States.

Do Complication Rates of Ventricular Drain Placement Differ between Twist Drill and Burr Hole in Acute Hydrocephalus?

2019 ◽  
Vol 80 (04) ◽  
pp. 277-284 ◽  
Author(s):  
Christine Brand ◽  
Andrej Pala ◽  
Wilhelm Kielhorn ◽  
Christian Rainer Wirtz ◽  
Thomas Kapapa
Keyword(s):  
External Ventricular Drainage ◽  
Brain Parenchyma ◽  
Burr Hole ◽  
Acute Subdural Hematoma ◽  
Complication Rates ◽  
Twist Drill ◽  
Acute Hydrocephalus ◽  
Duration Of Surgery ◽  
The Difference ◽  
The Brain

Objective The aim of the study was to compare two techniques for external ventricular drainage (EVD) placement with respect to their complication rates. Methods A retrospective descriptive study was performed to analyze all patients who had undergone EVD implantation for acute hydrocephalus between January 2010 and December 2013 with a focus on surgical technique and rate of complications. The burr hole technique (BHT) was used in one group and the twist-drill technique (TDT) in the other. Particular attention was paid to malposition, hemorrhage, and catheter-associated infection. Results A total of 350 consecutive patients underwent EVD implantation for acute hydrocephalus: BHT was performed in 201 and TDT in 147 of the patients, whereas in two patients the technique used was unknown. The overall infection rate was 6.3% (n = 22). Fourteen patients (4%) in the BHT group developed an infection compared with eight patients (9.5%) in the TDT group (p = 0.154). In 16 (4.5%) of all cases, postoperative computed tomography revealed catheter-induced hemorrhage.In one case (0.3%), surgery was necessary due to acute subdural hematoma. The difference between both techniques was not statistically significant (p = 0.343). In 44 (12.6%) of all cases, the position of the EVD tip was contralateral; in 36 (10.3%) of all cases, the EVD tip was in the brain parenchyma. The rate of malposition was 11.6% (n = 17) in the TDT group and 9.5% (n = 19) in the BHT group (p = 0.078). Conclusion Neither technique showed significantly different numbers in terms of infection, malposition, and hemorrhagic complications. EVD implantation using the TDT is an adequate method compared with BHT. The advantages of TDT are clear: the duration of surgery is shorter, the size of the wound is smaller, and the surgeon is not confined to the operating room.

Acute hydrocephalus in posterior fossa injury

1997 ◽  
Vol 86 (4) ◽  
pp. 629-632 ◽  
Author(s):  
Hideharu Karasawa ◽  
Hajime Furuya ◽  
Hiromichi Naito ◽  
Ken Sugiyama ◽  
Junji Ueno ◽  
...  
Keyword(s):  
Posterior Fossa ◽  
Fourth Ventricle ◽  
Ct Scanning ◽  
Mortality Rates ◽  
External Ventricular Drainage ◽  
Ventricular Drainage ◽  
Content Type ◽  
Acute Hydrocephalus ◽  
Significant Difference ◽  
Fine Print

✓ This is the first known report of the use of computerized tomography (CT) scanning to examine acute hydrocephalus in posterior fossa injury. Of the 1802 patients with acute head trauma treated at Funabashi Municipal Medical Center, 53 (2.9%) had suffered injury to the posterior fossa. Of these, 12 patients (22.6%) had associated acute hydrocephalus: nine patients with acute epidural hematoma (AEH) and three with intracerebellar hematoma and contusion (IH/C). There was a significant relationship between cases of AEH with hydrocephalus and supratentorial extension, hematoma thickness of 15 mm or more, and abnormal mesencephalic cisterns. In cases of IH/C, bilateral lesions and no visible fourth ventricle were significant causes of hydrocephalus. According to these results, possible mechanisms of acute hydrocephalus in posterior fossa injury may be as follows: in cases of AEH, hematoma that extends to the supratentorial area compresses the aqueduct posteriorly and causes hydrocephalus; in cases of IH/C, hematoma and contusional lesions may directly occlude the fourth ventricle and cause acute hydrocephalus. Seven patients suffering from AEH with acute hydrocephalus underwent evacuation of their hematoma without external ventricular drainage. In these cases, CT scanning showed that the hydrocephalus improved immediately after evacuation of the hematoma. Two patients suffering from IH/C with hydrocephalus underwent a procedure for evacuation of the hematoma and external ventricular drainage. The authors do not believe that ventricular drainage is necessary in treating posterior fossa AEH. However, both evacuation of the hematoma and ventricular drainage are necessary in cases of IH/C with hydrocephalus to provide the patient with every chance for survival. There was no significant difference in mortality rates when cases of AEH with acute hydrocephalus (0%) were compared with cases of AEH without hydrocephalus (7.7%). The observed mortality rates in cases of IH/C with hydrocephalus and those without hydrocephalus were 100% and 15.4%, respectively; this is statistically significant.

Continuous-Pressure Controlled, External Ventricular Drainage for Treatment of Acute Hydrocephalus???Evaluation of Risk Factors

Neurosurgery ◽  
1992 ◽  
Vol 31 (5) ◽  
pp. 898???904 ◽  
Author(s):  
U. Bogdahn ◽  
W. Lau ◽  
W. Hassel ◽  
G. Gunreben ◽  
H. G. Mertens ◽  
...  
Keyword(s):  
Risk Factors ◽  
External Ventricular Drainage ◽  
Ventricular Drainage ◽  
Acute Hydrocephalus ◽  
Pressure Controlled

scholarly journals Posterior Fossa Haematoma following Sudden Decompression of Acute Hydrocephalus Resulting from Neuroendoscopy

2007 ◽  
Vol 35 (4) ◽  
pp. 608-609 ◽  
Author(s):  
H. Prabhakar ◽  
Z. Ali ◽  
G. P. Rath
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Supportive Care ◽  
Posterior Fossa ◽  
Postoperative Period ◽  
External Ventricular Drainage ◽  
Colloid Cyst ◽  
Ventricular Drainage ◽  
Endoscopic Removal ◽  
Acute Hydrocephalus

We report a case of a 47-year-old male undergoing endoscopic removal of a third ventricular colloid cyst. After uneventful surgery, the patient remained drowsy and was transferred to the intensive care unit for supportive care. In the postoperative period, the patient developed hydrocephalus due to clot in the region of the cyst. A posterior fossa haematoma and further neurological deterioration complicated external ventricular drainage, presumably due to sudden intracranial hypotension. Gradual ventricular decompression is recommended to reduce the risk of this complication.

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