Intraventricular haematoma: management of comatose patients with valve regulated external ventricular drainage.
Over a 2-year period, 22 consecutive comatose patients (Glasgow Coma Score of less than or equal to 8) with intraventricular haematomas were managed with prolonged external ventricular drainage via an external one-way valve regulated system. The mean duration of drainage was 12 days. The overall mortality was 23%. According to the Glasgow Outcome Scale, 36% had severe to moderate disability and 41% made good recovery. Mortality and morbidity were closely related to the type of intraventricular haematoma and patients' preoperative clinical state. Drainage related complications: infection, and ventricular catheter blockage requiring revision, were not observed as a result of this technique. Of the survivors, nine eventually required ventriculoperitoneal shunts. Sump and valve regulated external ventricular drainage is, therefore, a useful procedure in the management of patients with extensive intraventricular haematoma.
Chan
K H
KH
Department of Surgery, University of Hong Kong, Queen Mary Hospital.
Mann
K S
KS
D000293:Adolescent; D000328:Adult; D000368:Aged; D002543:Cerebral Hemorrhage / Q000150:complications* / Q000601:surgery; D002552:Cerebral Ventricles / Q000601:surgery; D002557:Cerebrospinal Fluid Shunts; D003128:Coma / Q000209:etiology* / Q000401:mortality; D005260:Female; D006406:Hematoma / Q000150:complications* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D010529:Peritoneal Cavity; D014696:Ventriculostomy