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Başlık: Comparison of ventricular drainage in poor grade patients after intracranial hemorrhage
Yazarlar: Uludağ Üniversitesi/Tıp Fakültesi/Nöroşirürji Anabilim Dalı.
0000-0003-3633-7919
Yılmazlar, Selçuk
Abaş, Faruk
Korfalı, Ender
AAH-5070-2021
6603059483
8546184300
7004641343
Anahtar kelimeler: Acute hydrocephalus
External ventricular drainage
Infection
Intracranial hemorrhage
Intracranial pressure
Mortality
Ventriculo-peritoneal shunt
Spontaneous intracerebral hemorrhage
Progressive posthemorrhagic
Hydrocephalus
Aneurysmal subarachnoid hemorrhage
Hematoma enlargement
Infections
Predictor
Neurosciences & neurology
Yayın Tarihi: Eyl-2005
Yayıncı: Taylor and Francis
Atıf: Yılmazlar, S. vd. (2005). "Comparison of ventricular drainage in poor grade patients after intracranial hemorrhage". Neurological Research, 27(6), 653-656.
Özet: Objectives: The selection of patients and treatment criteria for acute hydrocephalus and intracranial pressure (ICP) after intracranial hemorrhage remains unclear. In general neurosurgical practice, there is a tendency to use external ventricular drainage (EVD) for the patients. This study was undertaken to analyse the complications and efficiency of the different treatment modalities. Methods: The effects, complications and outcome of ventricular drainage on high ICP and hydrocephalus were analysed retrospectively in 109 patients with intracranial hemorrhage. All the patients were assessed using the Glasgow Coma Scale, computed tomograph and ICP monitoring. We excluded patients over the GCS of 8. All patients underwent a procedure for ICP monitoring plus ventricular cerebrospinal fluid (CSF) drainage. Sixty-one patients were managed with one (single) EVD system; 12 patients needed two EVD systems consecutively, while 23 patients underwent an EVD procedure followed by permanent ventriculoperitoneal (VP) shunt insertion. Thirteen patients were treated only by VP shunt for ventricular drainage. The infection rate and outcome 9 months after hemorrhage were analysed. Results: The infection rates were 8.1% in the one-EVD group, 33.3% in the two-EVD group (one EVD versus two EVD, p < 0.05), 8.6% in the EVD-VPgroup and 7.7% in the VP shunt group. The mortality rates were 73.7% in the one-EVD group, 83.8% in the two-EVD group, 47.8% (p < 0.05) in the EVD-VPgroup and 53.8% (p < 0.01) in the VP shunt group. Discussion: This study indicates that single and short-term use of EVD and/or early VP shunting are associated with a low risk of infection. Furthermore, early VP shunting may protect the brain from the irregular control of intracranial hypertension and may allow more time for resolution of CSF circulation and significantly lowers the mortality rates.
URI: https://doi.org/10.1179/016164105X35657
https://www.tandfonline.com/doi/abs/10.1179/016164105X35657
http://hdl.handle.net/11452/21412
ISSN: 0161-6412
Koleksiyonlarda Görünür:Scopus
Web of Science

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