Background: External ventricular drainage (EVD) is one of the most common neurosurgical procedures. Complications are rather rare and mostly include hemorrhage and infection. Hematomas may form during placement or even after the removal of an EVD. Regarding the latter, the literature is scarce, with only nine clinically significant cases reported.
Case Description: We present the case of a young woman who suffered an extensive hemorrhage after removal of an EVD, in the setting of a posterior fossa stroke. We discuss the management and possible consequences of such an event and we emphasize the need for alertness to avoid such complications.
Conclusion: Removal of an EVD is a safe procedure, with rare cases of hemorrhagic complications being reported. A case of a large hematoma that formed after the removal of an EVD is presented. Stricter follow-up protocols should be implemented to better estimate the risk of hemorrhage.
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http://dx.doi.org/10.25259/SNI_415_2023 | DOI Listing |
BMC Glob Public Health
April 2024
College of Health Sciences, University of Liberia, Monrovia, Liberia.
Background: The burden of the COVID-19 pandemic in terms of morbidity and mortality differentially affected populations. Between and within populations, behavior change was likewise heterogeneous. Factors influencing precautionary behavior adoption during COVID-19 have been associated with multidimensional aspects of risk perception; however, the influence of lived experiences during other recent outbreaks on behavior change during COVID-19 has been less studied.
View Article and Find Full Text PDFActa Neurochir (Wien)
December 2024
Department of Neurosurgery, Liuzhou People's Hospital, Liuzhou, 545001, Guangxi Autonomous Region, China.
Background: Endoscopic hematoma evacuation is an efficient and secure minimally invasive procedure for intracerebral hemorrhages, characterized by a greater evacuation rate and reduced complications.
Method: Pure endoscopic surgery without decompressive craniectomy was used to remove the clot in individuals with large putaminal intracerebral hemorrhage. The intracranial pressure was monitored after surgery.
J Pak Med Assoc
December 2024
Department of Neurosurgery, Shifa International Hospital.
Objectives: To assess the incidence, causative pathogens, and impact of external ventricular drain-related infection on disease prognosis.
Methods: The observational, cross-sectional study was conducted from September 2022 to March 2023 after obtaining approval from the ethics review board of Shifa International Hospital, Islamabad, Pakistan, and comprised patients having no prior cerebrospinal fluid infection. The patients underwent external ventricular drain administration as part of their treatment.
J Clin Med
September 2024
Department of Neurosurgery, University Hospital Leipzig, 04275 Leipzig, Germany.
BMC Neurol
September 2024
Departmen of Rehabilitation Medicine Center, People's Hospital of Ningxia Hui Autonomous Region, Ningxia Hui Autonomous Region, No. 301 Zhengyuan North Street, Jinfeng District, Yinchuan, 750002, China.
Background: The aim of this study was to compare the efficacy of ventriculoperitoneal shunt (VPS) and endoscopic third ventriculostomy (ETV) for the treatment of hydrocephalus after thalamic hemorrhage (TH) where external ventricular drainage (EVD) could not be removed after hematoma absorption, and to provide a theoretical basis for the clinical treatment of hydrocephalus after TH.
Methods: The clinical data of patients with hydrocephalus after TH whose EVD could not be removed after hematoma absorption were retrospectively analyzed. According to the patients' surgical methods, the patients were divided into the VPS group and ETV group.
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