BACKGROUND AND PURPOSE We reviewed our 7-year experience in neuroendoscopic management of severe intraventricular hemorrhage (IVH) to evaluate its safety, efficiency, and efficacy. METHODS Thirteen patients with spontaneous primary or secondary tetraventricular IVH underwent neuroendoscopy. In all procedures, we used a flexible instrument. CT scans obtained before and after surgery were compa...

BACKGROUND AND PURPOSE Both intraventricular fibrinolysis (IVF) and lumbar drainage (LD) may reduce the need for exchange of external ventricular drainage (EVD) and shunt surgery in patients with intracerebral hemorrhage and severe intraventricular hemorrhage. We investigated the feasibility and safety of IVF followed by early LD for the treatment of posthemorrhagic hydrocephalus. METHODS Thi...

Sequential computed tomographic scans were obtained in 41 neonates surviving intracerebral hemorrhage and in 41 comparable neonates without hemorrhage. Hemorrhages were present in only the parenchyma in five patients in both parenchyma and ventricles in 22, and in only the ventricles in 14. No patient exhibited progression of the initial hemorrhage on subsequent scans. Parenchymal hemorrhages w...

Neonatal adrenal hemorrhage is frequently associated with birth trauma, perinatal asphyxia, intrauterine infection, coagulation defects and thromboembolism. It has varied clinical presentation depending on degree of hemorrhage and amount of adrenal cortex compromised by hemorrhage. The most common clinical presentations are persistent jaundice and flank mass. We report a case of left sided adre...

Seizures are common after intracerebral hemorrhage, occurring in 6–15% of the patients, mostly first 72 h. Their incidence reaches 30% when subclinical or non-convulsive seizures diagnosed by continuous electroencephalogram. Several risk factors for have been described including cortical location presence intraventricular total hemorrhage volume, and history alcohol abuse. may theoretically be ...

BACKGROUND AND PURPOSE The purpose of this study was to analyze the effect of intraventricular fibrinolysis (IVF) compared with external ventricular drainage alone on mortality and functional outcome in the management of intraventricular hemorrhage secondary to spontaneous supratentorial intracerebral hemorrhage. METHODS The authors conducted a systematic review and performed a meta-analysis....

INTRODUCTION The Apollo system (Penumbra Inc, Alameda, California, USA) is a low profile irrigation-aspiration system designed for the evacuation of intracranial hemorrhage. OBJECTIVE To demonstrate the feasibility of using Apollo in combination with cone beam CT guidance. METHODS Parenchymal (n=1) and mixed parenchymal-intraventricular hematomas (n=1) were created in cadaver heads using a ...

Objective : Post-traumatic hydrocephalus is a complication of head injury and can present with several different clinical symptoms. However, the developing factors of post-traumatic hydrocephalus and treatment are still not well known. The authors design the study to focus on incidence, causing diseases and treatment of post-traumatic hydrocephalus. Methods : The 789patients of traumatic head i...

BACKGROUND AND PURPOSE Few data on xenon computed tomography-based quantitative cerebral blood flow (CBF) in spontaneous intracerebral hemorrhage have been reported. We correlated perihematomal CBF in a retrospective series of 42 subacute spontaneous intracerebral hemorrhage patients undergoing xenon computed tomography with in-hospital discharge status and mortality. METHODS We calculated 3 ...