{"id":"366277f8-e5c2-4c60-bf4d-0fbbd563346f","slug":"neuroendoscopic-evacuation-of-intraventricular-hematoma-associated-with-thalamic-hemorrhage-to-shorten-the-duration-of-external-ventricular-drainage","title":"Neuroendoscopic evacuation of intraventricular hematoma associated with thalamic hemorrhage to shorten the duration of external ventricular drainage","authors":["Sadahiro Nomura","Hideyuki Ishihara","Hiroshi Yoneda","Satoshi Shirao","Mizuya Shinoyama","Michiyasu Suzuki"],"abstract":"Background: We report neuroendoscopic evacuation of an intraventricular hematoma (IVH) in 13 patients with thalamic hemorrhage. We discuss strategies to improve the outcome and to shorten the management period by using external ventricular drainage (EVD). Methods: Patients were classified into fair (modified Rankin scale [mRS] grade 4 or less) and poor (mRS grade 5) outcome groups, and depending on the duration of EVD, into short (7 days or shorter) and long EVD (8 days or longer) groups. Results: The postoperative residual IVH, graded using the Graeb score, was better for the fair outcome group than for the poor outcome group (3.9 [1.2] vs. 5.7 [1.0], P P P P < 0.01). Reduction in the volume of thalamic hemorrhage had no effect on the neurological outcome or duration of EVD. Conclusion: Neuroendoscopic evacuation of the IVH at the foramen of Monro and the third ventricle shortened the duration of EVD for hydrocephalus caused by thalamic hemorrhage with IVH involvement. Removal of the thalamic hemorrhage and IVH at the fourth ventricle was not necessary.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/366277f8-e5c2-4c60-bf4d-0fbbd563346f/featured/hero-1782421062666.png","publishDate":"2010-08-10T00:00:00.000Z","doi":"10.4103/2152-7806.68342","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2015/05/3150/SNI-1-43.pdf"}