The Possible Role of CSF Hydrodynamic Parameters Following in Management of SAH Patients

Heinsoo, M.; Eelmäe, J.; Kuklane, M.; Tomberg, Tiiu; Tikk, Arvo; Asser, Toomas

doi:10.1007/978-3-7091-6475-4_4

Cited by 12 publications

(8 citation statements)

References 7 publications

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“…Some authors assert that the presence of blood clots and high CSF viscosity can lead to an obstructive form of hydrocephalus and early CSF disturbances. 15,19,40 In one study, investigators noted no relationship between the development of hydrocephalus and the number of erythrocytes in the CSF, thus indicating that flow disturbances also play an important role in acute hydrocephalus. 4 The most important and novel finding in the present study is in the subgroup of patients with IVH who could probably benefit from surgical fenestration of lamina terminalis.…”

Section: Discussionmentioning

confidence: 99%

Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality

Dehdashti¹,

Rilliet²,

Rüfenacht³

et al. 2004

Journal of Neurosurgery

156

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Section: Discussionmentioning

confidence: 99%

Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality

Dehdashti¹,

Rilliet²,

Rüfenacht³

et al. 2004

Journal of Neurosurgery

156

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“…Some have reported that clotted blood and fluid buildup in the subarachnoid space increase ICP, whereas others have reported that blockage of the normal CSF circulation causes enlargement of the ventricles and elevation of ICP [1,3]. Furthermore, recent studies have shown that cerebral vasospasm following aSAH plays an important role in the elevation of ICP [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

“…The increase in ICP that accompanies aSAH may be attributed to the hemorrhage volume, obstruction of cerebrospinal fluid outflow, and diffuse vasospasm [1][2][3]. Furthermore, ICP elevation has been associated with poor clinical prognosis after aneurysm rupture [4][5][6].…”

Section: Introductionmentioning

confidence: 99%

Relationship between intracranial pressure and aneurysmal subarachnoid hemorrhage grades

Wang¹,

Chen²,

Mao³

et al. 2014

Journal of the Neurological Sciences

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“…In patients with SAH, ventriculostomy is useful for 1) ICP monitoring; 2) cerebrospinal fluid (CSF) drainage and 3) managing hydrocephalus 2,3,5,[9][10][11] . Although the risk of aneurysmal rebleeding increases 4 , it is outweighed by the benefits 5 .…”

Section: Discussionmentioning

confidence: 99%

Third ventriculostomy through the lamina terminalis for intracranial pressure monitoring after aneurysm surgery: technical note

Kraemer

Gobbato

Andrade-Souza

2002

Arq. Neuro-Psiquiatr.

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-Objective: A new ventriculostomy technique through the lamina terminalis is described. This technique is applied mainly during aneurysm surgery at the acute stage. Method: Thirteen patients were operated on intracranial aneurysms and, during the procedure, had the lamina terminalis fenestrated. A ventricular catheter was inserted into the third ventricule, left in place and connected to an external drainage system for further intracranial pressure (ICP) monitoring and/or cerebrospinal fluid (CSF) drainage. Results: ICP readings and CSF drainage were obtained in all cases. No complication was recorded. Conclusion: Third ventriculostomy through the lamina terminalis is a simple and easy technique that can be used as an alternative to conventional ventriculostomy. This procedure can be indicated in cases where the ventricule is not reached by means of another technique, and when the decision to perform ventriculostomy is made at the end of aneurysm surgery.KEY WORDS: cerebral aneurysm, ventricular drainage, third ventricle, intracranial pressure, operative technique.Terceiroventriculostomia via lamina terminalis para monitorização de pressão intracraniana após cirurgia de aneurisma: nota técnica RESUMO -Objetivo: Uma nova técnica de ventriculostomia através da lamina terminalis é descrita para utilização durante cirurgia de aneurisma na fase aguda. Método: Treze pacientes foram operados de aneurisma cerebral e, durante o procedimento, tiveram a lamina terminalis fenestrada. Um catéter ventricular foi inserido no terceiro ventrículo e conectado a um sistema de drenagem externa para monitorização da pressão intracraniana (PIC) e/ou drenagem de líquor (LCR). Resultados: A leitura da PIC e a drenagem do LCR foram obtidas em todos os casos. Não se evidenciaram complicações. Conclusão: A terceiroventriculostomia através da lamina terminalis é uma técnica simples e fácil, que pode ser usada como uma alternativa à ventriculostomia convencional. Esse procedimento pode ser indicado em casos em que as técnicas convencionais falham, ou quando a decisão de realizar a ventriculostomia é tomada ao final da cirurgia de aneurisma. PALAVRAS-CHAVE: aneurisma cerebral, drenagem ventricular, terceiro ventrículo, pressão intracraniana, técnica operatória.

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The Possible Role of CSF Hydrodynamic Parameters Following in Management of SAH Patients

Cited by 12 publications

References 7 publications

Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality

Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality

Relationship between intracranial pressure and aneurysmal subarachnoid hemorrhage grades

Third ventriculostomy through the lamina terminalis for intracranial pressure monitoring after aneurysm surgery: technical note

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