Aspiration of coagulated hematoma in the third and fourth ventricles via paracele anterior horn puncture / 中华创伤杂志(英文版)
Chinese Journal of Traumatology
; (6): 28-30, 2016.
Article
in En
| WPRIM
| ID: wpr-235790
Responsible library:
WPRO
ABSTRACT
Intraventricular hemorrhage (IVH) is a neurological urgency with a high mortality and unfavorable prognosis. Fast removal of intraventricular blood should be considered as a priority. The current treatments of IVH mainly focus on external ventricular drain and endoscopic aspiration, but neither way can remove the blood in the fourth ventricle easily and relieve the compression of brainstem. Here we report a unique procedure to solve this problem. A 41-year-old male patient who had suffered sudden attack of headache and disturbance of consciousness for 2 h was diagnosed as having high density lesion in the whole ventricular system by computed tomographic (CT) imaging. An emergent bilateral ventriculopuncture and intraventricular hematoma removal under non-line-of-sight was performed immediately; the catheter was extended to the fourth ventricle to maximally remove the hematoma. Postoperative CT scan demonstrated total removal of IVH and no sign of extra brain damage.
Full text:
1
Index:
WPRIM
Main subject:
Therapeutics
/
Punctures
/
Tomography, X-Ray Computed
/
Cerebral Hemorrhage
/
Drainage
/
Fourth Ventricle
/
Hematoma
/
Methods
Type of study:
Prognostic_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Chinese Journal of Traumatology
Year:
2016
Type:
Article