Journal Mobile Options
Table of Contents
Vol. 24, No. 1, 2007
Issue release date: June 2007
Cerebrovasc Dis 2007;24:91–96
(DOI:10.1159/000103122)

Application of Neuroendoscopy in the Treatment of Intraventricular Hemorrhage

Zhang Z. · Li X. · Liu Y. · Shao Y. · Xu S. · Yang Y.
Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan, PR China

Individual Users: Register with Karger Login Information

Please create your User ID & Password





Contact Information











I have read the Karger Terms and Conditions and agree.

To view the fulltext, please log in

To view the pdf, please log in

Abstract

Background: Spontaneous intraventricular hemorrhage is an infrequent but severe complication of hemorrhagic stroke. The conventional treatment of intraventricular hemorrhage consists of ventricular drainage or surgical evacuation, but neither of them is encouraged. The objective of this article is to compare different surgical procedures in order to evaluate a method of minimally invasive treatment for intraventricular hemorrhage. Methods: Neuroendoscopy was applied to treat 22 cases of intraventricular hemorrhage. Twenty cases of the same disease that were treated by external ventricular drainage were taken as a control and comparison. Results: All patients were followed up for 2 months. In the neuroendoscopy group, according to the Glasgow outcome scale, the result was excellent in 5 cases, good in 9, fair in 4, poor in 2 and death in 2. In the external ventricular drainage group, the result was excellent in 1 case, good in 5, fair in 7, poor in 5 and death in 2. More patients in the neuroendoscopy group showed good recovery after 2 months of surgery (p < 0.05). The difference in mortality rate between the 2 groups was not statistically significant (p > 0.05). Conclusions: Neuroendoscopic neurosurgery for intraventricular hemorrhage offers better surgical treatment because it is characterized by visualized manipulation, effective hemorrhage evacuation and excellent postoperative outcomes.



Copyright / Drug Dosage

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher or, in the case of photocopying, direct payment of a specified fee to the Copyright Clearance Center.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in goverment regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.

References

  1. Adams HP, Torner JC, Kassell NF: Intraventricular hemorrhage among patients with recently ruptured aneurysms: a report of the cooperative aneurysm study. Stroke 1992;23:140.

    External Resources

  2. Daverat P, Castel JP, Dartigues JF, Orgogozo JM: Death and functional outcome after spontaneous intracerebral hemorrhage. Stroke 1991;22:1–6.
  3. Findlay JM, Wong JH: Clinical aspects of intraventricular hemorrhage; in Welch KMA, Caplan LR, Reis DJ, Siesjo BK, Weir B (eds): Primer on Cerebrovascular Diseases, ed 1. San Diego, Academic Press, 1997, pp 437–446.
  4. Mohr G, Ferguson G, Khan M, et al: Intraventricular hemorrhage from ruptured aneurysm. J Neurosurg 1983;58:482–487.
  5. Lampl Y, Gilad R, Eshel Y, Sarova-Pinhas I: Neurological and functional outcome in patients with supratentorial hemorrhage: a prospective study. Stroke 1995;26:2249–2253.
  6. Tuhrim S, Horowitz DR, Sacher M, Godbold JH: Volume of ventricular blood is an important determinant of outcome in supratentorial intracerebral hemorrhage. Crit Care Med 1999;27:617–621.
  7. De Weerd AW: The prognosis of intraventricular hemorrhage. J Neurol 1997;222:45–51.

    External Resources

  8. Hårdemark HG, Wesslén N, Persson L: Influence of clinical factors, CT findings and early management on outcome in supratentorial intracerebral hemorrhage. Cerebrovasc Dis 1999;9:10–21.
  9. Mayfrank L, Lippitz B, Groth M, Bertalanffy H, Gilsbach JM: Effect of recombinant tissue plasminogen activator on clot lysis and ventricular dilatation in the treatment of severe intraventricular hemorrhage. Acta Neurochir 1993;122:32–38.
  10. Coplin WM, Vinas FC, Agris JM, et al: A cohort study of the safety and feasibility of intraventricular urokinase for nonaneurysmal spontaneous intraventricular hemorrhage. Stroke 1998;29:1573–1579.
  11. Naff NJ, Carhuapoma R, Williams MA, et al: Treatment of intraventricular hemorrhage with urokinase. Stroke 2000;31:841–847.
  12. Lagares A, Putman CM, Ogilvy CS: Posterior fossa decompression and colt evacuation for fourth ventricle hemorrhage after aneurysmal rupture: case report. Neurosurgery 2001;49:208–211.
  13. Shimoda M, Oda S, Shibata M, Tominaga J, Kittaka M, Tsugane R: Results of early surgical evacuation of packed intraventricular hemorrhage from aneurysm rupture in patients with poor-grade subarachnoid hemorrhage. J Neurosurg 1999;91:408–414.
  14. Kothari RU, Brott T, Broderick JP, et al: The ABCs of measuring intracerebral hemorrhage volumes. Stroke 1996;27:1304–1305.
  15. Jennett B, Bond M: Assessment of outcome after severe brain damage. Lancet 1975;1:480–484.
  16. Sui BS: Cerebrovascular Disorders – MR, CT, DSA and Clinic, ed 1. Beijing, People’s Medical Press, 1991, pp 196–225.
  17. Zhang GJ, Zhao ZY: Advances in Cerebrovascular Disorders Abroad, ed 1. Beijing, Chinese Medical Science and Technology Publishing House, 2000, p 247.
  18. Bagley C: Blood in the cerebrospinal fluid: resultant functional and organic alterations in the central nervous system. Arch Surg 1928;17:39–81.

    External Resources

  19. Deland FH, James AE, Ladd DJ, Konigsmark BW: Normal pressure hydrocephalus: a histologic study. Am J Clin Pathol 1972;58:58–63.
  20. Ellington E, Margolis G: Block of arachnoid villi by subarachnoid hemorrhage. J Neurosurg 1969;30:651–657.
  21. Kibler RF, Couch RSC, Crompton MR: Hydrocephalus in the adult following spontaneous hemorrhage. Brain 1961;84:45–61.
  22. Hirashima Y, Hamada H, Hayashi N, et al: Independent predictors of late hydrocephalus in patients with aneurismal subarachnoid hemorrhage – analysis by multivariate logistic regression model. Cerebrovasc Dis 2003;16:205–210.
  23. Goh KYC, Hsiang JNK, Zhu XL, Poon WS: Intraventricular recombinant tissue plasminogen activator for treatment of spontaneous intraventricular haemorrhage in pregnancy. J Clin Neurosci 1999;6:158–159.

    External Resources

  24. Rainov NG, Burkert WL: Urokinase infusion for severe intraventricular hemorrhage. Acta Neurochir (Wien) 1995;134:55–59.
  25. Dan GS: Surgery Technology (Neurosurgery), ed 1. Beijing, People’s Military Press, 1994, pp 308–310.
  26. Marquardt G, Wolff R, Sager A, et al: Subacute stereotactic aspiration of haematomas within the basal ganglia reduces occurrence of complications in the course of haemorrhagic stroke in non-comatose patients. Cerebrovasc Dis 2003;15:252–257.
  27. Schaller C, Rohde V, Meyer B, Hassler W: Stereotactic puncture and lysis of spontaneous intracerebral hemorrhage using recombinant tissue-plasminogen activator. Neurosurgery 1995;36:328–333.
  28. Higgins AC, Nashold BS Jr: Stereotactic evacuation of large intracerebral hematomas. Appl Neurophysiol 1990,43:96–103.

    External Resources

  29. Ma LT: Minimally Invasive Neurosurgery, ed 1. Beijing, People’s Military Press, 1999, pp 516–517.
  30. Bauer BL, Hellsig D: Minimally invasive endoscopic neurosurgery – a survey. Acta Neurochir Suppl 1994;61:1.


Pay-per-View Options
Direct payment This item at the regular price: USD 38.00
Payment from account With a Karger Pay-per-View account (down payment USD 150) you profit from a special rate for this and other single items.
This item at the discounted price: USD 26.50