We performed direct hematoma evacuation of thalamic and intraventricular hemorrhage using mini-craniotomy in recent years. The present study evaluated the outcome and complications in 18 patients with spontaneous thalamic and intraventricular hemorrhage treated by mini-craniotomy hematoma evacuation with external ventricular drainage and 24 patients treated by only external ventricular drainage...

OBJECTIVES The aim of this study was to evaluate the influence of total drainage time on the risk of catheter infection, and the predictive value of standard laboratory examinations for the diagnosis of bacteriologically recorded cerebrospinal fluid (CSF) infection during external ventricular drainage. METHODS During a three year period, all patients of the neurosurgical intensive care unit (...

The rates of infection of two methods of external ventricular drainage in use at Atkinson Morley's Hospital--namely, (a) percutaneous drainage with Rickham reservoirs and (b) tunnelled ventriculostomies--were compared in this retrospective review. Percutaneous drainage of CSF with Rickham reservoirs was associated with a 27% rate of infection as identified by positive microbiological cultures; ...

In a consecutive series of 473 patients admitted within 72 hours after a subarachnoid hemorrhage, 91 (19%) had hydrocephalus on the initial computed tomogram. Consciousness was unimpaired in 25 of the 91 (28%). In 11 more patients acute hydrocephalus developed within 1 week after subarachnoid hemorrhage. Thirty-eight (8%) of all 473 patients subsequently showed clinical deterioration because of...

treatment of hydrocephalus in posterior fossa tumors in children is still a matter of controversy and different centers have their own routines. in this regard, hospital records of all children with posterior fossa tumors treated in our center during the interval of 1985-1995 were reviewed. patients’ demographic and diagnostic data were analyzed and the frequencies of shunting procedures were d...

BACKGROUND AND PURPOSE Cerebrospinal fluid drainage is often indicated in patients with acute hydrocephalus after aneurysmal subarachnoid hemorrhage but is believed to increase the risk of rebleeding. We studied the risk of rebleeding in patients with subarachnoid hemorrhage during treatment for acute hydrocephalus. METHODS We included patients with hydrocephalus treated with external ventric...

• We have recently demonstrated direct right ventricular drainage of the septal branch of the common left coronary artery of dogs with normal pressure-flow relationship maintained between the coronary vasculature and the ventricular chambers. Using similar methods the search for Thebesian drainage of the common left coronary artery has been extended to the left heart of the dog, and the results...

The use of prolonged external ventricular drainage to treat uncontrollable intracranial hypertension in patients with cerebral cryptococcomas without hydrocephalus is unique and remains largely unreported. This condition, however, can be life-threatening. Early diagnosis and cerebrospinal fluid diversion techniques are important and are essential to survival and neurological function. We report...

A review of intraventricular haemorrhage (IVH) diagnosed in 103 preterm infants from 1983 to 1993 describes the presenting features and management of this condition. In this 10-year period, 37 infants with IVH developed post-haemorrhagic hydrocephalus (PHH), defined as ventriculomegaly, raised intracranial pressure and increasing head circumference. PHH was treated by external ventricular drain...