Ventriculosubgaleal shunting for spontaneous intraventricular haemorrhage: is it a good alternative to external ventricular drainage?

Abstract Background Spontaneous intraventricular haemorrhage (IVH) is a life-threatening condition associated with high morbidity and mortality conventionally managed using external ventricular drain (EVD). However, EVD commonly rate of complications, which necessitates another alternative management comparable or better outcome. This study aims to compare the efficacy safety ventriculosubgaleal shunt (VSGS) compared for adult patients spontaneous IVH. Results A total 48 were enrolled in this study. Twenty underwent 28 had VSGS. Postoperative complications non-significantly more prevalent than VSGS group (75 vs. 64.3%, p = 0.430), including non-CR (20 32.1%), infection 7.1%), blocked catheter (15 3.6%), dislodged (10 7.1%). Convulsions CSF leaks occurred frequently (7.1 vs 5%, 1.000). GCS Graeb’s score between groups ( > 0.05). The higher hydrocephalus after removal (80 53.6%, 0.059) mean GOS 3 months postoperatively (mean score: 4 3). Conclusions as effective safe EVD, lower infection, blocked/dislodged catheters, well reduced incidence hydrocephalus. On other hand, showed at months. these differences did not reach statistical significance.