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Efficacy of External Ventricular Drain in Cases of Hypertensive Intraventricular Bleed with Acute Hydrocephalus


 
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1. Title Title of document Efficacy of External Ventricular Drain in Cases of Hypertensive Intraventricular Bleed with Acute Hydrocephalus
 
2. Creator Author's name, affiliation, country Balasubramaniam Srikant; Department of Neurosurgery, BYL Nair Hospital and T.N. Medical College, Mumbai Central, Maharashtra, India
 
2. Creator Author's name, affiliation, country Tyagi K. Devendra; Department of Neurosurgery, BYL Nair Hospital and T.N. Medical College, Mumbai Central, Maharashtra, India
 
2. Creator Author's name, affiliation, country Mahajan Vijay; Department of Neurosurgery, BYL Nair Hospital and T.N. Medical College, Mumbai Central, Maharashtra, India
 
2. Creator Author's name, affiliation, country Hemant V. Savant; Department of Neurosurgery, BYL Nair Hospital and T.N. Medical College, Mumbai Central, Maharashtra, India
 
3. Subject Discipline(s) Medicine, Neurosurgery
 
3. Subject Keyword(s) Acute Hydrocephalus; External Ventricular Drain; Intraventricular Bleeds
 
3. Subject Subject classification Neurosurgery
 
4. Description Abstract

Hypertensive intracerebral hemorrhages (HICH) is characterized by direct bleeding into the cerebral parenchymal system. The most common localization for spontaneous intracerebral hemorrhages was Thalamus (27%), followed by Putamen and lobar regions. Intraventricular (IVH) bleed was present in 358 patients (14.2%). 315 patients (12.5%) had acute hydrocephalus after bleed and were included in our study. Between Feb 1990-Jan 2014, 2509 patients with hypertensive ICH were evaluated by the department of neurosurgery. The diagnosis was established easily and rapidly with computed tomography. Of these total cases, 358 patients had bleed in the ventricular system. 315 patients were selected for external ventricular drain (EVD) procedure on the basis of inclusion and exclusion criteria. At 1 year interval, 231 patients survived (73.3%). 112 (35%) patients had good outcome and were independent (Modified Rankin Scale 0-2). The rest needed varying degrees of assistance and care. The prognosis and results of treatment with external ventricular drainage (EVD) were recorded based on prognostic factors and Modified Rankin scale outcome. All study patients underwent surgery with EVD within 4 hrs of their hospital admission. Applying EVD had positive results and reversed the, early and late complications of acute hydrocephalus caused by IVH.
 
5. Publisher Organizing agency, location
 
6. Contributor Sponsor(s) None
 
7. Date (YYYY-MM-DD) 2016-06-15
 
8. Type Status & genre Peer-reviewed Article
 
8. Type Type Retrospective review
 
9. Format File format PDF
 
10. Identifier Uniform Resource Identifier http://medical.cloud-journals.com/index.php/IJAMed/article/view/Med-314
11. Source Journal/conference title; vol., no. (year) International Journal of Advanced Medicine; Published Papers
 
12. Language English=en en
 
14. Coverage Geo-spatial location, chronological period, research sample (gender, age, etc.)
 
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