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

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 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.

scholarly journals Infecção liquórica em drenagem ventricular externa: avaliação dos fatores de risco em 110 pacientes de uma única instituição

2020 ◽  
Vol 39 (03) ◽  
pp. 161-169
Author(s):  
Itamar Cristian Larsen ◽  
Jorge Eduardo F. Matias ◽  
Marlus S. Moro ◽  
Luana A. Maranha ◽  
João Cândido Araújo
Keyword(s):  
Risk Factors ◽  
Intensive Care Unit ◽  
Intraventricular Hemorrhage ◽  
Statistical Significance ◽  
External Ventricular Drainage ◽  
Ventricular Drainage ◽  
Single Institution ◽  
Wound Area ◽  
Statistical Comparison ◽  
Neurosurgical Patients

Abstract Objectives External ventricular drainage (EVD) is extensively used in the neurosurgical practice with the purpose of monitoring the intracranial pressure and draining the cerebrospinal fluid (CSF). Despite its remarkable benefits, the technique is not devoid of risks, notably infections, which have been reported in up to 45% of the cases. Methods A retrospective analysis of the main risk factors for CSF infection in neurosurgical patients submitted to EVD at a single institution. We recorded and submitted to statistical comparison every risk factor for CSF infection present or absent in each of the 110 EVD patients enrolled, 53 males and 57 females, with an average age of 52.9 years, with different underlying neurosurgical conditions. Results Infection of the CSF occurred in 32 patients (29%). The rate of mortality related to CSF infection was of 18.7% (6 of 32). The risk factors that showed statistical significance for CSF infection in this series were: emergency surgery; length of stay at the intensive care unit (UCI); duration of the EVD; parenchymal and/or intraventricular hemorrhage; simultaneous infections; time of bladder catheterization; and the use of non-disposable adhesive drapes as part of the preparation of the wound area. Conclusions Infection of the CSF in patients submitted to EVD is multifactorial and a challenge in terms of prevention. Further studies proposing scores with blended risk factors may be useful to prevent and reduce the morbidity and mortality associated with CSF infection.

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.

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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