2004
DOI: 10.1161/01.str.0000113736.73632.f6
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Neuroendoscopic Management of Intraventricular Hemorrhage

Abstract: Background and Purpose-We reviewed our 7-year experience in neuroendoscopic management of severe intraventricular hemorrhage (IVH) to evaluate its safety, efficiency, and efficacy. Methods-Thirteen patients with spontaneous primary or secondary tetraventricular IVH underwent neuroendoscopy. In all procedures, we used a flexible instrument. CT scans obtained before and after surgery were compared for Graeb score and ventriculocranial ratio. Glasgow Outcome Scale was assessed at 12 months. Results-In all patient… Show more

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Cited by 75 publications
(67 citation statements)
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“…3,8,9,14) Good results have been reported with the use of only a flexible endoscope, but we have been performing IVH removal with both a rigid endoscope and a flexible endoscope. Rigid endoscopes afford higher image resolution than flexible endoscopes, and the use of a transparent sheath and aspiration tubes permits rapid hematoma removal.…”
Section: Discussionmentioning
confidence: 99%
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“…3,8,9,14) Good results have been reported with the use of only a flexible endoscope, but we have been performing IVH removal with both a rigid endoscope and a flexible endoscope. Rigid endoscopes afford higher image resolution than flexible endoscopes, and the use of a transparent sheath and aspiration tubes permits rapid hematoma removal.…”
Section: Discussionmentioning
confidence: 99%
“…Communicating hydrocephalus after IVH may be caused by dysfunction of the cerebrospinal fluidreabsorbing Pacchioni granulations of the arachnoidea, so endoscopic removal of IVH in the acute phase may reduce the incidence of communicating hydrocephalus in the chronic phase. 12) A shunt procedure is required in 0% to 17% of cases after neuroendoscopy, 3,8,9,14) compared to 13.9% to 33% of cases after EVD. 6,7,10) However, whether neuroendoscopic surgery significantly reduces the incidence of communicating hydrocephalus remains unclear.…”
Section: Discussionmentioning
confidence: 99%
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“…2,3) The introduction of neuroendoscopic surgery has improved the safety and prognosis of the removal of intraventricular hemorrhage. [4][5][6][7][8][9][10] Neuroendoscopic surgery has often been performed to treat hypertensive intracerebral hemorrhage. Recently, the indication for neuroendoscopic surgery has been extended to cast-formation intraventricular hematoma.…”
mentioning
confidence: 99%
“…9,11,13,14 The AP is a V-shaped structure on the floor of the fourth ventricle diverging from its apex at the obex in a rostral direction, always overlying the nucleus of the solitary tract. 3,25 Caudally, the AP can be observed bulging out from the rhomboid fossa 1-2 mm caudal to the opening of the central canal.…”
Section: Discussionmentioning
confidence: 99%